Ann Dermatol.  2008 Jun;20(2):86-89. 10.5021/ad.2008.20.2.86.

Surgical Tip: The Double-Bladed Scalpel in Mohs Micrographic Surgery

• Choi KW
• Lee YK
• Kim YH
• Lee CW
• Kim KH

• KMID: 2172091
• DOI: http://doi.org/10.5021/ad.2008.20.2.86

Abstract

Mohs micrographic surgery is applied as the primary method of treatment for various cutaneous neoplasms. Many other methods that are modified applications of Mohs micrographic surgery have also been suggested. We introduce a technique, which is a modified vertical method of Mohs micrographic surgery using the double-bladed scalpel.

Keyword

Double-bladed scalpel; Mohs micrographic surgery

MeSH Terms

Mohs Surgery

Figure

• 

  Fig. 1 A 58-year-old Korean man was admitted with a 2.0×0.5 cm sized black colored mass on his right nasolabial fold. He was diagnosed with basal cell carcinoma and treated with Mohs micrographic surgery. (A) Incision is performed with a double-bladed scalpel after determining the margin. (B) The margins strip and the main tumor. (C) The margin strip is subdivided into four pieces. The base is cut from the main tumor.

• 

  Fig. 2 Double-bladed scalpel.

Reference

1. Shriner DL, McCoy DK, Goldberg DJ, Wagner RF. Mohs micrographic surgery. J Am Acad Dermatol. 1998; 39:79–97.

2. Moossavi M, Alam M, Ratner D. Use of the double-bladed scalpel in peripheral margin control of dermatofibrosarcoma protuberans. Dermatol Surg. 2000; 26:599–601.

3. Coiffman F. Use of square scalp grafts for male pattern baldness. Plast Reconstr Surg. 1977; 60:288–232.

4. Nelson BR, Johnson TM, Railan D. Surgical pearl: tips for increasing efficiency during hair transplantation - the sixteen-bladed knife. J Am Acad Dermatol. 1955; 33:1036–1037.

5. Bowen ML, Charnock FM. The Bowen doublebladed scalpel for the reconstruction of scars. Obstet Gynecol. 1994; 83:476–477.

6. Johnson TM, Headington JT, Baker SR, Lowe L. Usefulness of the staged excision for lentigo maligna and lentigo maligna melanoma: the "square" procedure. J Am Acad Dermatol. 1997; 37:758–764.

7. Schultz BC, Roenigk HH Jr. The double scalpel and double punch excision of skin tumors. J Am Acad Dermatol. 1982; 7:495–499.

8. Cernea CR, Velasco O, Gomes MQ, Vellutini E, Hojaij FC, de Carlucci D Jr, et al. Double-bladed scalpel: a new option for harvesting margins in head and neck cancers. ORL J Otorhinolaryngol Relat Spec. 2006; 68:83–87.

9. Kopke LF, Konz B. Micrographic surgery. A current methodological assessment. Hautarzt. 1995; 46:607–614.