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The flap is incised and elevated over the periosteum from distal to proximal. [1] The flap consists of skin, subcutaneous tissue, fat and frontalis muscle and is not thinned. When reaching the brow, all of the skin borders are incised and the flap is carefully released. [1] The full-thickness flap is then sutured into the defect without tension.
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Mohs surgery could target non-melanoma and melanoma skin cancers, and is recommended as a first-line treatment for large, high-risk tumours in anatomically critical areas. [9] After local anesthesia is applied, visible tumours are first excised using a scalpel .
Cryosurgery is an old modality for the treatment of many skin cancers. When accurately utilized with a temperature probe and cryotherapy instruments, it can result in a very good cure rate. Disadvantages include lack of margin control, tissue necrosis, over or under-treatment of the tumor, and long recovery time.
Flap surgery is a technique essential to plastic and reconstructive surgery. A flap is defined as tissue that can be moved to another site and has its own blood supply. This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
Reconstructive surgery: Triangles of skin adjacent to a sliding flap are excised to facilitate movement of the flap [1] Collis gastroplasty: John Leigh Collis, British cardiothoracic surgeon: Upper gastrointestinal surgery: Procedure for lengthening oesophagus [2] COLLIS JL (September 1957). "An operation for hiatus hernia with short oesophagus ...
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. [1] The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or ...