Chiseling of exposed bone to stimulate granulation tissue after Mohs surgery.
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.
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