Avoid motor nerve damage by applying proper knowledge of human anatomy. Allocate extra time to study the anatomy in high-risk areas where motor nerves travel superficially. Infection Infections are rare with proper cleansing techniques. For patients with large wounds or diabetes, oral antibiotics usually are recommended. For wounds involving cartilaginous structures, prescribe fluoroquinolones to cover pseudomonal infections.
Recurrence rate tends to increase with higher-grade tumors.
The epidermis and part of the dermis can be visualized via this scanning microscope based on different refractive indices of various structures in the skin. The FDA has approved these microscopes, and clinical studies for use in Mohs surgery are now under way. The author's institution currently is involved in clinical testing of a prototype designed for Mohs surgery, and the results are encouraging. Special stains Several investigators have used immunostaining to assist in tumor visualization. Selective labeling of malignant cells can aid in unmasking tumors within inflammation or in more clearly determining margins.