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Otolaryngology, ENT & Sinus News Provided by Dallas ENTWho should have Mohs micrographic surgery?August 1, 2010, 12:00 pm by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: To review the indications for Mohs micrographic surgery in skin cancer particularly with relationship to tumours of the head and neck and any recent developments which may influence those indications in the near future. Recent findings: There is increasing evidence to support the use of Mohs micrographic surgery in the treatment of recurrent and primary basal cell carcinoma and in squamous cell carcinoma, particularly when there is evidence of perineural invasion. Mohs micrographic surgery is particularly effective in the treatment of dermatofibosarcoma protuberans, especially in the high-risk head and neck area in which wide local excision may not be possible. Developments in freshly excised tissue imaging by confocal fluorescence microscopy and/or Raman spectroscopy may further refine the technique of Mohs micrographic surgery. Developments in immunohistochemistry with rapid staining of frozen sections may make Mohs micrographic surgery for lentigo maligna and melanoma in situ more feasible in the future, which would be an advantage in the head and neck. Summary: The evidence base for the use of Mohs micrographic surgery for a wide range of cutaneous tumours is growing and the technique continues to develop. Close collaboration between Mohs micrographic surgeons, specialist surgical oncologists and reconstructive surgeons will provide the highest quality care for our patients with some of the most challenging cutaneous tumours. (C) 2010 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Surgical management of common peripheral vestibular diseases Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: To review the latest developments in the surgical management of common peripheral vestibular disorders. Recent findings: Although surgery is indicated mainly for patients with Meniere's disease, other less common disorders Cochlear efferent innervation and function Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: This review covers topics relevant to olivocochlear-efferent anatomy and function for which there are new findings in papers from 2009 to early 2010. Recent findings: Work within the review period Reconstruction of cheek defects: a review of current techniques Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm Purpose of review: The article discusses the fundamental principles of cheek reconstruction and summarizes recently published techniques and reviews in the field. Recent findings: Reconstruction of the cheek is a complex endeavour. Patient, Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available Editorial introduction to the maxillofacial surgery section Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available
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