title: 3D Mohs surgery: a new concept.
abstract: Although Mohs surgery is considered a skin-sparing technique, when dealing with aggressive skin tumor that penetrates the deep tissues, the Mohs surgeon usually sacrifices uninvolved skin. We present our technique of 3D Mohs as a new concept for skin-sparing surgery. After raising a skin flap above the residual tumor, Mohs resection was performed on the deep tissues horizontally and simultaneously on the inner plan of the flap vertically. When "clear" borders were achieved, the skin flap was sutured back into place. The results show that the defect was significantly smaller, and the hair on the Mohs-treated vertical flap continue to grow, thus contributing to a more aesthetic outcome. We conclude that careful use of the 3D Mohs technique as we describe spares the healthy uninvolved skin and offers better aesthetic and functional result.
authors: The Haim Sheba Medical Center, Ramat Gan, Israel. zilinsky@bezeqint.net
authors: Isaac
authors: I
authors: Zilinsky
authors: Perry
authors: P
authors: Robins
authors: Alon
authors: A
authors: Liran
authors: Oren
authors: O
authors: Weissman
authors: Eran
authors: E
authors: Millet
authors: Nimrod
authors: N
authors: Farber
authors: Josef
authors: J
authors: Haik
authors: Eyal
authors: E
authors: Winkler
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D015580:Mohs Surgery / Q000379:methods*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome