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Thanks for your question. Squamous cell cancer typically starts in the layers of the skin, but as it progresses can start to involve deeper layers and structures including cartilage.It is important to have suspicious lesions evaluated and if positive for squamous cell cancer, promptly treated. Best of Luck
Nasal cartilage can be damaged by squamous cell carcinoma, however, even if it is not directly involved with the tumor it may still have to be sacrificed because of the complex structure of the nose and the proximity of the tumor. The major benefit of Mohs surgery is that it has the highest cure rate of any other treatment, which means the lowest chance of recurrence. Discuss this with your Mohs surgeon as well as reconstruction options once the tumor is removed that will restore normal function and appearance. Do this before your surgery so you can have a clearer picture of what may lie ahead for you. Since there are Facial Plastic Surgeons who possess special expertise in nasal reconstruction, you can discuss this with your Mohs surgeon to see if one is available near by. Fellowship - trained Mohs surgeons may also have the ability to deliver similar results.
The short answer is that epinephrine is not necessary for local anesthesia. However, there are two reasons that it is extremely beneficial. It helps control bleeding and it allows the numbing to last longer. Make sure to discuss the reasons you would like to avoid epinephrine with your doctor. ...
Hello!Thank you for your question. More than likely, your Mohs surgeon will apply a large pressure dressing to your surgical site that should be sufficient to minimize bleeding/bruising while you are making your way to the plastic surgeon for repair. The forehead is an area that can result in...
Basal cell carcinoma with squamous differentiation could mean several things and this has been the subject of some debate. It could mean separate tumors, one basal cell carcinoma and the other, squamous lying so close that the elements of each collide. This is called a collision tumor. The...
For lower lip wounds like yours, I have my patients clean the wound twice daily with sterile normal saline to prevent buildup and solidifying of all yellowish exude. They are then directed to apply just Vaseline to the wound to keep it moist . Topical antibiotics should be avoided. A non-stick...
Hello,Thank you for your question! Some burning and tingling is to be expected following Mohs surgery. Sometimes it can be the result of irritation due to antibiotic ointment or adhesive from the bandage. If the burning and tingling is associated with severe pain, redness, or swelling, it could ...
Hard to say what type of closure was performed without a photograph. There are a number of reconstructive options in this area to minimize pull on the eyelid/eyebrow. If it's a straight or slightly curved line, then it's likely a linear closure. If there's a horizontal and vertical line, then...
