Named after Frederic E Mohs, MD. in the late 1930’s, Mohs surgery, or Mohs micrographic surgery, is considered one of the most effective methods for treating and removing basal cell carcinomas and squamous cell carcinomas. Mohs micrographic surgery was further developed by Perry Robins, MD, a dermatology student of Dr. Mohs into the procedure we know today.
Who performs Mohs surgery?
Mohs surgery is typically performed by a team who are specially trained to fulfill three roles:
- the surgeon who removes the cancer tissue
- the pathologist who analyzes the removed tissue
- the surgeon who closes or reconstructs the wound
How does Mohs surgery work?
The team will work in stages, in one visit, to remove all the cancer cells. One surgeon, typically a dermatologist, will systematically remove a layer of tissue. The pathologist then analyzes the tissue for cancer. Based on the pathology results, the surgeon will then leave an area alone having removed enough tissue, or remove more tissue in the specific area/areas where cancer cells remain. Once 100% of the tumor margins have been examined and all cancer cells have been removed, then typically a facial plastic surgeon and ENT finish the procedure as they’re intimate with the facial structure and natural aesthetics.
This combined treatment between to specialists is most often preferred and bring the most desirable results from a functional and cosmetic perspective.
What areas have great visual success?
Mohs surgery has great visual success in the nose, ear, cheek, areas of the face forehead, and lips. Surgeons can use a variety of techniques to barrow skin from other areas often rotating tissue with an artistic hand. Dr. Klausner specializes in areas that are deeper and larger while doing everything she can to maintain facial aesthetics.
Advantages of Mohs surgery?
The best course of treatment for head and neck Mohs cancer is seeing a dermatological specialist to ensure proper removal then work with a facial plastic surgeon and ENT who are intimate with the facial structure and natural aesthetics. This combined treatment between to specialists is most often preferred and bring the most desirable results from a functional and cosmetic perspective.
Additionally, due to high cure rate of skin cancer, least amount of good tissue removed (sparing healthy tissue), and convenience of procedure being done in a day are all advantages of Mohs surgery.