Is Moh's Surgery Appropriate Following Plastic Surgery Doing an Excision of a Keratoacanthoma with Skin Grafts and Cartilage Removal of the lower right side of nose; now with path. report showing 'squamous cell ca' at the deeper and most lateral margins. The surgeon had me see a ENT plastic surgeon and they both want to do a 'crane procedure' involving excising tissue from the area until all margins are clear and taking a 'flap' from the forehead and attaching to end of . They told me Moh's in not a good choice for this spot. But told me I'm facing 3-4 surgeries and reconstruction and may lose my nose and possibly AN EYE! I asked the ENT plastic surgeon if the squamous cell ca had invaded an eye(like he said it MAY); would radiation or chemo or some other non-removal of eye work. He said skin ca (squamous cell) doesn't respond well to radiation or chemo; but rather surgical removal. They want to do the 'crane procedure' excising all ca margins until clear and then bringing a 'flap' down from my forehead to attach to end of excised area on nose for blood supply. Is is too late for Moh's if the ca has already
Answers (3)
From board-certified doctors and trusted medical professionals
Both approaches are reasonable and the choice will ultimately be yours to make.The cure rate with retreatment with the original modality often drops to 50% or less. ( It may be slightly higher cure with superficial lesions.) Mohs offers 95% or better cure rates even with recurrent...
I would agree with Dr. Hruza. Best option is to ask your doctor exactly why he is delaying repair of the defect. If the defect is particularly deep or there is exposed bone, he may want to wait for sufficient granulation tissue to develop before placing a graft. The possibility that he is...
The lightheaded feeling after surgery can be due to blood loss or medications that you are taking. I am not sure about the leaning issue. Please see your medical doctor.