Department of Dermatology, School of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Dermatologic Surgery Unit, Skin Cancer Institute, Tauranga, Bay of Plenty, New Zealand.
Dermatol Surg. 2019 Dec;45 Suppl 2:S110-S117. doi: 10.1097/DSS.0000000000002249.
The scalp presents unique surgical challenges, and specialized techniques are sometimes required to achieve optimal results. Tumors arising on the scalp may also be at increased risk of complications such as in-transit metastasis and perineural invasion.
To review challenges to Mohs micrographic surgery on the scalp and techniques for successful tumor extirpation and reconstruction.
This article reviews our experience with tumors of the scalp including techniques that we have found helpful both for tumor removal and for reconstruction.
Familiarity with the anatomy of the scalp as well as common challenges encountered during Mohs surgery may help improve outcomes and impart increase confidence to the practicing surgeon.
头皮具有独特的手术挑战，有时需要专门的技术才能达到最佳效果。头皮上的肿瘤也可能更容易发生并发症，如转移和神经周围侵犯。
回顾头皮 Mohs 显微外科手术的挑战以及成功切除和重建肿瘤的技术。
本文回顾了我们在头皮肿瘤方面的经验，包括我们发现有助于肿瘤切除和重建的技术。
熟悉头皮解剖结构以及 Mohs 手术中常见的挑战，可以帮助提高手术效果，并增加手术医生的信心。
