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| Definitions | Links |
Direct closure |
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Nodular basal cell carcinoma on left cheek / lower eyelid.
This can be excised with a 4mm clear margin and ellipse, and repaired with direct closure.
Tumour "clear" zone marked plus ellipse
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Tumour excised including a little deep muscle tissue.
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Direct closure skin
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End of operation - would secured.
Sutures removed one week later.
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Non-Mohs' Excisional Biopsy |
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Tumour marked with "clear" edge and proposed flap marked out
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Defect after excision biopsy. Tumour free edged and base on histopathological analysis.
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Flap being constraucted amd moved over onto defect
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Mohs' defect and secondary defect caused by creating flap are both closed securely
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Local tissue flap |
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Medial canthal basal cell carcinoma
The BCC has been completely excised using Mohs' micrographic surgery.
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This patient opted to have "laissez-faire" repair as the defect was well positioned and a good size for this. The appearance a few weeks later is excellent and will continue to improve.
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Laissez-faire repair |
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Medial canthal basal cell carcinoma
This has been excised by Mohs' micrographic surgery leaving a "hole" with loss of the skin and underlying muscle.
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Oculoplastic repair of the defect has been done using a transnasal bilobed flap. This shows the arly post-operative appearance with the "hole" completely filled and eyelid normal appearance maintained.
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