Conservative thickness layers in Mohs micrographic surgery
Background Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations w...
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| Published in | International journal of dermatology Vol. 57; no. 9; pp. 1128 - 1134 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Blackwell Publishing Ltd
01.09.2018
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Background
Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful.
Methods
We performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow‐up.
Results
A total of 339 tumors were treated with CTL. The most common site was the leg (28.6%), with 77.4% of these being female. The next most common sites were nose (24.5%), scalp (13.9%), and back (11.5%). Most tumors were cleared with one layer (269), but some required two layers (42), three layers (11), and four layers (1). A total of 264 tumors were left to granulate, while 75 of the nasal tumors had immediate dermabrasion.
Conclusion
In the properly selected patient and anatomic location, CTL taken as the first stage in MMS can be an effective and time‐saving technique, leaving wounds in optimal condition for granulation with a low complication rate. Tissue sparing may allow for more reconstructive options. |
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| AbstractList | BackgroundMohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful.MethodsWe performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow‐up.ResultsA total of 339 tumors were treated with CTL. The most common site was the leg (28.6%), with 77.4% of these being female. The next most common sites were nose (24.5%), scalp (13.9%), and back (11.5%). Most tumors were cleared with one layer (269), but some required two layers (42), three layers (11), and four layers (1). A total of 264 tumors were left to granulate, while 75 of the nasal tumors had immediate dermabrasion.ConclusionIn the properly selected patient and anatomic location, CTL taken as the first stage in MMS can be an effective and time‐saving technique, leaving wounds in optimal condition for granulation with a low complication rate. Tissue sparing may allow for more reconstructive options. Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors' aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful. We performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow-up. A total of 339 tumors were treated with CTL. The most common site was the leg (28.6%), with 77.4% of these being female. The next most common sites were nose (24.5%), scalp (13.9%), and back (11.5%). Most tumors were cleared with one layer (269), but some required two layers (42), three layers (11), and four layers (1). A total of 264 tumors were left to granulate, while 75 of the nasal tumors had immediate dermabrasion. In the properly selected patient and anatomic location, CTL taken as the first stage in MMS can be an effective and time-saving technique, leaving wounds in optimal condition for granulation with a low complication rate. Tissue sparing may allow for more reconstructive options. Background Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful. Methods We performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow‐up. Results A total of 339 tumors were treated with CTL. The most common site was the leg (28.6%), with 77.4% of these being female. The next most common sites were nose (24.5%), scalp (13.9%), and back (11.5%). Most tumors were cleared with one layer (269), but some required two layers (42), three layers (11), and four layers (1). A total of 264 tumors were left to granulate, while 75 of the nasal tumors had immediate dermabrasion. Conclusion In the properly selected patient and anatomic location, CTL taken as the first stage in MMS can be an effective and time‐saving technique, leaving wounds in optimal condition for granulation with a low complication rate. Tissue sparing may allow for more reconstructive options. Abstract Background Mohs micrographic surgery ( MMS ) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate the utility of conservative thickness layers ( CTL ) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful. Methods We performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow‐up. Results A total of 339 tumors were treated with CTL . The most common site was the leg (28.6%), with 77.4% of these being female. The next most common sites were nose (24.5%), scalp (13.9%), and back (11.5%). Most tumors were cleared with one layer (269), but some required two layers (42), three layers (11), and four layers (1). A total of 264 tumors were left to granulate, while 75 of the nasal tumors had immediate dermabrasion. Conclusion In the properly selected patient and anatomic location, CTL taken as the first stage in MMS can be an effective and time‐saving technique, leaving wounds in optimal condition for granulation with a low complication rate. Tissue sparing may allow for more reconstructive options. |
| Author | Bryant, Elizabeth A. Tolkachjov, Stanislav N. Cappel, Jonathan A. Harmon, Christopher B. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29774540$$D View this record in MEDLINE/PubMed |
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| References | 2004; 364 2001; 344 2010; 36 2015; 72 1988; 37 2016; 75 2008; 7 2012; 38 2007; 57 2004; 30 2002; 47 2009; 35 2013; 39 2015; 41 2001; 19 2005; 30 2014; 59 2016; 42 2018 2017 2003; 29 1989; 15 2001; 11 2012; 67 2011; 29 e_1_2_5_25_1 e_1_2_5_26_1 e_1_2_5_23_1 e_1_2_5_24_1 e_1_2_5_21_1 e_1_2_5_22_1 Thomas RM (e_1_2_5_16_1) 1988; 37 Campbell RM (e_1_2_5_28_1) 2008; 7 e_1_2_5_29_1 e_1_2_5_20_1 Tolkachjov SN (e_1_2_5_27_1) 2018 e_1_2_5_15_1 e_1_2_5_14_1 e_1_2_5_17_1 e_1_2_5_9_1 American Academy of Dermatology; American College of Mohs Surgery; American Society for Dermatologic Surgery Association (e_1_2_5_18_1) 2012; 38 e_1_2_5_8_1 e_1_2_5_11_1 e_1_2_5_7_1 e_1_2_5_10_1 e_1_2_5_6_1 e_1_2_5_13_1 e_1_2_5_32_1 e_1_2_5_5_1 e_1_2_5_12_1 e_1_2_5_4_1 e_1_2_5_3_1 e_1_2_5_2_1 e_1_2_5_19_1 e_1_2_5_30_1 e_1_2_5_31_1 |
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Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate... Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors' aim is to demonstrate the utility... Abstract Background Mohs micrographic surgery ( MMS ) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to... BackgroundMohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors’ aim is to demonstrate... BACKGROUNDMohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors' aim is to demonstrate... |
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| SubjectTerms | Adult Aged Carcinoma, Basal Cell - surgery Carcinoma, Squamous Cell - surgery Complications Cytotoxicity Demographics Demography Female Granulation Humans Lymphocytes T Maintenance Male Middle Aged Mohs Surgery - adverse effects Mohs Surgery - methods Nose Patient Selection Retrospective Studies Scalp Skin Neoplasms - surgery Surgery Thickness Tumors |
| Title | Conservative thickness layers in Mohs micrographic surgery |
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