TY - JOUR
T1 - Local control of auricular, periauricular, and external canal cutaneous malignancies with mohs surgery
AU - Niparko, John K.
AU - Swanson, Neil A.
AU - Baker, Shan R.
AU - Telian, Steven A.
AU - Sullivan, Michael J.
AU - Eemink, John L.
PY - 1990/10
Y1 - 1990/10
N2 - Three hundred ninety-seven patients with 407 cutaneous malignancies of the auricle, periauricular region, and cartilaginous external ear canal were reviewed. Tumors were most commonly located in the preauricular and postauricu- lar regions, followed by the helix, concha, antihelix, and ear canal. All lesions were excised with Mohs microscopic control of margins. For lesions requiring lateral temporal hone resection, an adaptation of fresh-tissue microscopic control was used to analyze deep and anterior margins suspected of harboring residual tumor. Two-year minimum follow-up of 229 patients with periauricular and auricular tumors (N = 231 tumors) and 14 patients with cartilaginous ear canal tumors (N = 14 tumors) revealed recurrence rates of 6.9% and 14.3%, respectively. Recurrences were most common in cases of large tumors (>2.5 cm), basal cell carcinomas with morphea elements, and multiply recurrent lesions. We conclude that Mohs surgery is comparatively effective, though not uniformly curative, and can be adapted to supplement excision of large tumors in these regions.
AB - Three hundred ninety-seven patients with 407 cutaneous malignancies of the auricle, periauricular region, and cartilaginous external ear canal were reviewed. Tumors were most commonly located in the preauricular and postauricu- lar regions, followed by the helix, concha, antihelix, and ear canal. All lesions were excised with Mohs microscopic control of margins. For lesions requiring lateral temporal hone resection, an adaptation of fresh-tissue microscopic control was used to analyze deep and anterior margins suspected of harboring residual tumor. Two-year minimum follow-up of 229 patients with periauricular and auricular tumors (N = 231 tumors) and 14 patients with cartilaginous ear canal tumors (N = 14 tumors) revealed recurrence rates of 6.9% and 14.3%, respectively. Recurrences were most common in cases of large tumors (>2.5 cm), basal cell carcinomas with morphea elements, and multiply recurrent lesions. We conclude that Mohs surgery is comparatively effective, though not uniformly curative, and can be adapted to supplement excision of large tumors in these regions.
UR - http://www.scopus.com/inward/record.url?scp=0025129423&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025129423&partnerID=8YFLogxK
U2 - 10.1288/00005537-199010000-00004
DO - 10.1288/00005537-199010000-00004
M3 - Article
C2 - 2215034
AN - SCOPUS:0025129423
SN - 0023-852X
VL - 100
SP - 1047
EP - 1051
JO - Laryngoscope
JF - Laryngoscope
IS - 10
ER -