title: Chiseling of exposed bone to stimulate granulation tissue after Mohs surgery.
abstract: Extensive Mohs surgery for carcinomas of the forehead and scalp occasionally requires the removal of periosteum. The exposed bone presents a wound management problem. One method, if healing by secondary intention is a viable option, is to chisel bone to stimulate granulation tissue and promote healing. A case is presented that describes this procedure in an elderly patient.
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D005546:Forehead; D005624:Frontal Bone / Q000601:surgery*; D006097:Granulation Tissue / Q000502:physiology*; D006801:Humans; D008722:Methods; D010521:Periosteum / Q000601:surgery*; D014945:Wound Healing