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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 Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am No abstract available Airway assessment by four-phase rhinomanometry in septal surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: This article updates the state of the art in functional ventilation tests of the nasal airway. Multidisciplinary international cooperation has led within the last years to the development of Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: For well over 100 years, it has been appreciated that maxillary dental infections can cause sinusitis. This insight has been largely overlooked with the advent of functional endoscopic sinus Olfactory improvement after endoscopic sinus surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Olfactory dysfunction is a common complaint in patients with chronic rhinosinusitis (CRS). The purpose of this article is to review the current evidence on the impact of endoscopic sinus Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Fungi have been suggested to play an important role in the pathogenesis of chronic rhinosinusitis (CRS). This review describes the recent knowledge concerning the role of fungi in the
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