More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate of any treatment for nonmelanoma skin cancer, is used increasingly for melanoma, and the lowest recurrence rate. Mohs Micrographic Surgery: From Layers to Reconstruction by renowned dermatologic and Mohs surgeons Christopher Harmon and Stanislav Tolkachjov provides a detailed yet succinct road map to learning and mastering Mohs and reconstruction.

The algorithmic organization coupled with instructive photographs and illustrations provide a reader-friendly format conducive to learning. The two opening chapters describe the principles of Mohs surgery including: progressive layer excision to determine if wound margins are cancer free, associated pitfalls, recurrences, special sites, reconstructive principles, and general considerations. The subsequent eight chapters are organized by facial site, from the nose to the eyelid/eyebrow. The final two chapters discuss combination reconstructions stretching over multiple subunits and perioperative management and wound care.

Key Highlights

• An impressive group of global Mohs and reconstruction experts provide firsthand pearls that guide optimal treatment
• Relevant anatomical aspects that impact excision and reconstruction are detailed, including structures, skin tension lines, tissue planes, and dangers zones
• More than 20 procedural videos provide hands-on guidance on how to perform specific steps in Mohs and reconstruction

This unique resource will help residents, fellows, and surgeons in dermatology, plastic surgery, and facial plastic surgery master nuances of Mohs reconstructive techniques to achieve the most functional and aesthetically pleasing outcomes for patients.

Contents

۱ Mohs Micrographic Surgery۲ Facial Subunit Reconstructive Principles and General Considerations۳ Nose۴ Forehead and Temple Reconstruction۵ Scalp۶ Cheek۷ Auricular Reconstruction۸ Lip (Perioral) Reconstruction۹ Chin Reconstruction۱۰ Reconstruction of the Eyelids and Eyebrows۱۱ Combination Reconstruction۱۲ Perioperative Management and Wound Care

Video Contents

۱. ۱.۱: Curettage following sharp debulking.۲. ۱.۲: Sharp debulking—eyelid.۳. ۱.۳: Excising the first stage during Mohs surgery.۴. ۱.۴: Forceps-free atraumatic Mohs initial stage.۵. ۱.۵: Basic first-stage tissue processing.۶. ۱.۶: Subsequent Mohs stages.۷. ۱.۷: Sampling the hinge point on subsequent Mohs stages.۸. ۱.۸: Deep layer epidermal tag technique.۹. ۱.۹: Deep layer postage stamp technique.۱۰. ۱.۱۰: Gridding for deep only layers.۱۱. ۱.۱۱: Initial and subsequent stages.۱۲. ۳.۱: Shave and sand technique.۱۳. ۳.۲: Bilobed flap.۱۴. ۳.۳: Forehead flap.۱۵. ۳.۴: Conchal bowl full-thickness skin graft.۱۶. ۳.۵: Nasolabial flap.۱۷. ۷.۱: Helical rim advancement.۱۸. ۷.۲: Flip flop flap.۱۹. ۸.۱: Repair of a large cutaneous lateral upper lip defect with a crescentic advancement flap.۲۰. ۱۰.۱: Snap test.۲۱. ۱۰.۲: Full-thickness skin graft with blepharoplasty incision lower eyelid defect.۲۲. ۱۰.۳: Semicircular Tenzel’s flap.۲۳. ۱۰.۴: Insertion and removal of corneal protective shields.۲۴. ۱۱.۱: Combo-Z (neck).۲۵. ۱۱.۲: Combo-Z (temple).۲۶. ۱۲.۱: Bolster suture.

———————————————————