Large full-thickness nasal tip defects after Mohs surgery present a challenge to the reconstructive surgeon. The interpolated paramedian forehead flap is the standard modality to repair such defects, especially when exposed cartilage is present. Despite providing an excellent cosmetic outcome, some patients are reluctant to undergo this procedure due to the associated temporary deformity, the p...

The majority of penile carcinoma is squamous cell carcinoma. Although uncommon in the United States, it represents a larger proportion of cancers in the underdeveloped world. Invasive squamous cell carcinoma may arise from precursor lesions or de novo , and has been associated with lack of circumcision and HPV infection. Early diagnosis is imperative as lymphatic spread is associated with a poo...

Mohs micrographic surgery is a surgical technique that seeks to ensure the clearance of cutaneous tumors while maximizing normal tissue conservation. This is accomplished through the sequential removal of thin layers of tissue in which the entire peripheral and deep margins are examined for residual tumor. This approach appears to be superior to conventional surgical excision in the treatment o...

BACKGROUND Atypical fibroxanthoma is a rare mesenchymal tumor of the head and neck region. METHODS We analyzed the files of 3 large dermatology hospitals from the years 2001 to 2013 in southeast Germany. RESULTS We identified 53 patients (56 tumors) with a male predominance. The mean age was 78.0 years ± 8.3 years. Mohs surgery was performed in all cases resulting in complete remission in 4...

Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. The closure of the surgical defects, however, can be a challenge. Multiple and versatile methods of reconstructing ...

There is little evidence that supports a high risk for SARS-CoV-2 transmission during Mohs micrographic surgery when proper personal protective equipment and strict infection control protocols are in place.

Abstract National health insurance (NHI) is a financing mechanism established by national government with the goal of covering all or almost its citizens. A number low- and middle-income countries have NHIs as part strategy to progress towards universal coverage. The establishment an NHI presents potentially significant shift in sector governance, but little available literature regarding how p...

There is no basis for the assertion by Dr. Rogers and his colleagues that our conclusions were erroneous or affected by the study design. We meticulously studied every patient with basal cell carcinoma or cutaneous squamous cell carcinoma diagnosed over a two-year period at two busy hospitals at our academic medical center. We had excellent follow-up on virtually all patients, and we analyzed p...