NEW TRENDS IN SKIN TUMOR SURGERY

Over 8 years, 1700 patients were referred from the Mohs' Surgery and C utaneous Laser Unit after Mohs micrographic skin tumor excision to the Division of Plastic and Reconstructive Surgery Preoperative coordinat ion between the two divisions was emphasised in wound preparation and timing of reconstruction for maximized patient convenience and outcome , Most repairs of facial and extremity defects were carried out under local anesthesia, Techniques of repair were selected based upon algori thmic priorities emphasizing simple techniques over complex ones, Dire ct closure, skin grafts and flaps were used, Preference for aesthetic subunit reconstruction of the face and the use of particular flap tech niques including the O-to-S, O-to-T, V-to-Y island advancement, island ized nasolabial flap for alar reconstruction and the forehead flap for nasal dorsum and tip repair are illustrated.