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Surgical Pearl: The Chalazion Clamp Earlobe Reconstruction Technique

Weiss Eduardo — Sun, 17 Jan 2010 01:45:16 +0000

Eduardo Weiss, MD; Emily Rubenstein, DO PGYIII; Alexandra Titone, DO PGYIII; Luis Soro, OMS-IV NSU-COM

Descargar artículo completo: ear_reconstruction2.doc (1.5Mb)

Eduardo Weiss suggerisce di leggere: Mohs Surgery

Weiss Eduardo — Mon, 05 Oct 2009 16:40:49 +0000

Porgiamo un affettuoso benvenuto a Eduardo Weiss di Hollywood, (FL ,USA) competente, aggiornato ed instancabile chirurgo dermatologico esperto di Mohs Surgery

Eduardo Weiss suggerisce di leggere Mohs Surgery cliccando in:

http://en.wikipedia.org/wiki/Mohs_surgery

troverai il seguente interessante contenuto:

1 History

2 Mohs procedure

2.1 Staining Convention

3 Differences between histology of transverse sections and vertical sections

4 The Mohs Surgery Team

5 Why is the cure rate so varied?

6 Comparison to other modalities of treatment

7 Controversy About Mohs Surgery

8 Where Mohs surgery is allowed

9 Future applications of Mohs surgery

10 Associations

11 References

12 External links

Mohs Surgery: Ca. Basocellulare Morfeiforme Infiltrativo del naso

Weiss Eduardo — Thu, 01 Oct 2009 08:50:36 +0000

Foto 1

A 33 year-old Italian woman presented with a biopsy-proven infiltrative, morpheaform basal cell carcinoma (BCC) on the left nasal bridge(foto 1).

Clinically, the lesion was an ill-defined 2.1 centimeter pearlescent pink-white plaque.

Foto 2

Because of the location and tumor type, the lesion was treated with Mohs microcraphic surgery requiring three stages for clearance (foto 2).

Once clear margins were obtained, the 3.8 cm defect was closed using an advancement flap. The patient tolerated the procedure without any complications.

1 M. Post Op

2 M. Post Op

Mohs micrographic surgery is a procedure whereby skin cancers are excised, and the tissue is stained with hematoxylin and eosin and examined using horizontally-oriented frozen section technique with detailed mapping of the surgical specimens. If there is any residual tumor, the process is repeated until the margins are free of tumor. Indications for this procedure includes skin cancers of large size greater than two centimeters, location on areas that are cosmetically sensitive and require tissue-sparing techniques, tumors with poorly defined borders, tumors with aggressive histology or in areas more likely to metastasize, such as the periorbital, nasal, perioral, and auricular region, as well as recurrent tumors.
This is a perfect example of a lesion that extended beyond the visible margins, and the final defect exceeded any expectations.
Mohs surgery is a very useful procedure that will help us in these types of cases and is a very simple technique that when used in the proper setting with trained staff will run without many difficulties.

Cordiali saluti,

Eduardo Weiss
Dermatologist-Dermatologic Surgeon
Hollywood (FL), USA