Wesley Y Yu1, Paul Salmon2, Jason Thuener3, Jeremy S Bordeaux1. 1. Department of Dermatology, School of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio. 2. Dermatologic Surgery Unit, Skin Cancer Institute, Tauranga, Bay of Plenty, New Zealand. 3. Department of Otolaryngology, School of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Abstract
BACKGROUND: The scalp presents unique surgical challenges, and specialized techniques are sometimes required to achieve optimal results. Tumors arising on the scalp may also be at increased risk of complications such as in-transit metastasis and perineural invasion. OBJECTIVE: To review challenges to Mohs micrographic surgery on the scalp and techniques for successful tumor extirpation and reconstruction. METHODS AND MATERIALS: This article reviews our experience with tumors of the scalp including techniques that we have found helpful both for tumor removal and for reconstruction. CONCLUSION: Familiarity with the anatomy of the scalp as well as common challenges encountered during Mohs surgery may help improve outcomes and impart increase confidence to the practicing surgeon.
BACKGROUND: The scalp presents unique surgical challenges, and specialized techniques are sometimes required to achieve optimal results. Tumors arising on the scalp may also be at increased risk of complications such as in-transit metastasis and perineural invasion. OBJECTIVE: To review challenges to Mohs micrographic surgery on the scalp and techniques for successful tumor extirpation and reconstruction. METHODS AND MATERIALS: This article reviews our experience with tumors of the scalp including techniques that we have found helpful both for tumor removal and for reconstruction. CONCLUSION: Familiarity with the anatomy of the scalp as well as common challenges encountered during Mohs surgery may help improve outcomes and impart increase confidence to the practicing surgeon.