3D Mohs surgery: A new concept

Isaac Zilinsky, Perry Robins, Alon Liran, Oren Weissman, Eran Millet, Nimrod Farber, Josef Haik, Eyal Winkler

Research output: Contribution to journalArticlepeer-review

Abstract

Although Mohs surgery is considered a skin-sparing technique, when dealing with aggressive skin tumor that penetrates the deep tissues, the Mohs surgeon usually sacrifices uninvolved skin. We present our technique of 3D Mohs as a new concept for skin-sparing surgery. After raising a skin flap above the residual tumor, Mohs resection was performed on the deep tissues horizontally and simultaneously on the inner plan of the flap vertically. When "clear" borders were achieved, the skin flap was sutured back into place. The results show that the defect was significantly smaller, and the hair on the Mohs-treated vertical flap continue to grow, thus contributing to a more aesthetic outcome. We conclude that careful use of the 3D Mohs technique as we describe spares the healthy uninvolved skin and offers better aesthetic and functional result.

Original languageEnglish
Pages (from-to)1271-1274
Number of pages4
JournalJournal of Drugs in Dermatology
Volume10
Issue number11
StatePublished - Nov 2011
Externally publishedYes

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