Dr. Jedlowski has a clinical interest in complex reconstructive cases after Mohs surgery.
Below is a portfolio of interesting and challenging cases.
Outcomes vary on a patient-to-patient basis.
Basal cell carcinoma, left nasal ala with full thickness defect — Mohs excision with nasalis hinge turnover flap, melolabial interpolation flap and cheek advancement flap, 8-week follow-up after flap takedown.
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Basal cell carcinoma, nasal tip and right sidewall — Mohs excision with paramedian forehead flap for nasal tip and bilobed flap for nasal sidewall , 3 month follow-up.
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Basal cell carcinoma, left upper cutaneous lip — Mohs excision with Abbe lip-switch interpolated flap, 4 week follow-up after flap takedown.
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Squamous cell carcinoma with lymphovascular invasion, left upper cutaneous lip — Mohs excision with lip wedge and advancement flap reconstruction, 8-week follow-up.
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Basal cell carcinoma, left upper and lower eyelid — Mohs excision with local flap reconstruction with trepier flap and mustarde flap , 3 month follow-up.
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Basal cell carcinoma, left temple exteninding deep to the SMAS, involving the temporal branch of facial nerve — Mohs excision with local flap reconstruction with cervicofacial rotation flap, 2 month follow up.
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Basal cell carcinoma, right nasal ala — Mohs excision with melolabial interpolated flap reconstruction, 4-week follow-up after takedown.
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Basal cell carcinoma, left nasal ala and nasal tip — Mohs excision with rhinophyma surgery with loop cautery, 4-week follow-up.
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Basal cell carcinoma, left antihelix — Mohs excision with cheek to ear interpolated flap, 4-week follow-up after takedown.
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Basal cell carcinoma, left conchal bowl — Mohs excision with retroauricular pull-through transposition flap, 8-week follow-up.
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Melanoma in situ, scalp — Mohs excision with MARI-1 immunostaining and local flap reconstruction with O to Z rotation flap, 3-week follow-up after surgery.
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Hidradenocarcinoma of the occipital scalp — Mohs excision extending to the trapezial muscles, repaired with quadruple rotation flap, 3 month follow up after radiation therapy completion.
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Basal cell carcinoma, left helix, antihelix, triangular fossa, helical rim and crus — Mohs excision with local flap reconstruction retroauricular interpolation flap and preauricular transpositon flap, 8-week follow-up after flap takedown.
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Squamous cell carcinoma, lower vermillion lip — Mohs excision with mucosal advancement flap, 1 month follow up
Basal cell carcinoma, left nasal ala — Mohs excision with full thickness defect sparing the helical rim, nasalis hinge flap, cartilage batten graft, melolabial transposition flap, 8-week follow-up.
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Basal cell carcinoma, left nasal ala — Mohs excision with repair with melolabial interpolation flap and cartilage batten graft. Two month follow up after flap takedown
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Basal cell carcinoma, left nasal ala — Mohs excision with paranasal interpolated flap, 3 months after flap takedown.
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Basal cell carcinoma, nasal tip — Mohs excision with local flap repair with trilobed transposition flap, 2 month follow up.
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Basal cell carcinoma, right upper eyelid — Mohs excision with full thickness eyelid defect. Posterior lamella repaired with periosteal hinge flap and anterior lamella repaired with tenzel flap. 4 month follow up.
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Basal cell carcinoma, right lower eyelid — Mohs excision with full thickness eyelid defect, repaired with posterior lamella repair with Hughes interpolated flap and full thickness skin graft, 1 month follow up after takedown.
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Basal cell carcinoma, left lower eyelid — Mohs excision with myocutaneous advancement flap. 2 month follow up.
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Basal cell carcinoma, left medial upper eyelid — Mohs excision with U-plasty myocutaneous advancement flap. 1 month follow up.
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Basal cell carcinoma, right apical triangle and lateral nasal ala — Mohs excision with island pedicle flap and perialar transposition flap. 2 month follow up.
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Basal cell carcinoma, right apical triangle — Mohs excision with island pedicle advancement flap. 2 month follow up.
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Squamous cell carcinoma, occipital scalp — Mohs excision with O-Z rotation flap. 2 week staple removal follow up.
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Basal cell carcinoma, nasal tip — Mohs excision with trilobed transposition flap. 2 month follow up.
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