Mohs' micrographic surgery and prompt reconstruction for basal cell carcinoma: report of 62 cases using the combined method.

Aggressive, recurrent, and difficult to manage skin cancers may require complex solutions. In this review of 62 skin cancers, we demonstrate a novel approach to the management of these tumors. Mohs' micrographic surgery was used to remove the tumor, and was followed by immediate or delayed plastic surgical repair.

The osteo-mucoperiosteal flap in repair of cerebrospinal fluid rhinorrhea: a 20-year experience.

Chronic cerebrospinal fluid rhinorrhea (present for 2 months or longer) is a serious condition frequently encountered by the otolaryngologist-head and neck surgeon. The purpose of this report is that it can be successfully repaired transsinally, from below, with a high rate of success. Intracranial repair has been associated with reportedly high morbidity and failure rates.

The effects of pentoxifylline on random skin flap survival.

Random skin flaps are an important and frequently used technique in head and neck reconstruction. Pentoxifylline has been shown to improve the deformability of red blood cells by increasing their intracellular adenosine triphosphate content and, therefore, improving their flow properties. This is especially important in ischemia and low blood flow states present in the distal portions of random skin flaps.

Effects of Oxypherol-ET on random skin-flap survival in the swine model.

Random skin flaps are an important and frequently used technique in head and neck reconstruction. Fluorocarbons (Oxypherol-ET) have a low viscosity and high oxygen solubility that allow them to enhance the microcirculation and reduce skin-flap necrosis. These properties were evaluated using the swine model.

The use of composite auricular grafts in nasal reconstruction.

Composite auricular grafts are extremely valuable in head and neck reconstruction. They are most commonly used in reconstruction of the ear, eyelid, and nose. Composite grafting provides a relatively simple technique of reconstruction with excellent cosmetic and functional results.