Biomedical subjects
Ronald J Siegle
Publications and source records attributed to Ronald J Siegle.
Forehead reconstruction.
The article focuses on forehead reconstruction of surgical wounds following skin cancer resection. Reconstruction options are presented for three forehead subunits. Preserving motor and, when possible, sensory nerve function, maintaining eyebrow position, and camouflaging incisions are priorities for successful reconstruction. Most forehead defects that cannot be closed primarily are usually reconstructed with laterally based advancement flaps.
Scalp reconstruction.
The article focuses on scalp reconstruction of surgical wounds following skin cancer resection. In contrast to other cosmetic units, scalp wounds are closed under significant tension, because the galea restricts overlying tissue movement. For defects that cannot be closed primarily, rotation flaps developed within the subgaleal space are often the best reconstruction option.
Burow's wedge advancement flaps for reconstruction of adjacent surgical defects.
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Mohs micrographic surgery and the otolaryngologist.
OBJECTIVE: The purpose of this study was to provide an update and overview of the current indications for Mohs micrographic surgery (MMS) for cutaneous and upper aerodigestive tract malignancies. STUDY DESIGN: Literature review. METHODS: A comprehensive review of the literature from 1971 to present was completed by using the Medline data base. In addition, interviews were obtained with several otolaryngologists who had used the technique. RESULTS: MMS offers a superior alternative to standard excision in a variety of cutaneous malignancies. Overall, for the skin cancers likely to be encountered by the otolaryngologist, there is significant evidence that MMS offers increased rates of cure as well as tissue conservation. The role of MMS in upper aerodigestive tract malignancies continues to evolve and multiple issues must be addressed before its general application. CONCLUSIONS: When confronted with a difficult cutaneous malignancy, the otolaryngologist should consider MMS to optimize treatment results.