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Thomas G. Hill, MD
Department of Dermatology Emory University School of Medicine Atlanta, GA 30322

Arch Dermatol. 1992;128(3):410.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

For the uninitiated, the article by Snow and Zweibel¹ entitled "Freehand Skin Grafts Using the Shave Technique" that appeared in the May 1991 issue of the ARCHIVES is an interesting reexposition of an original technique described over 100 years ago by Thiersch.² The authors describe their use of the Thiersch method well.

In the case report presented, it is quite distressing to note that Mohs excision was employed on a tiny (5 x 7 mm), primary and superficial basal cancer, unless the patient was not charged for the Mohs excision, which was clearly not indicated for this tumor. Utilization of Mohs saucerization technique also destroyed the underlying perichondrium, which would not have happened with primary excision and skilled blunt dissection under the tumor. Thus, destruction of the perichondrial support bed for grafting and overutilization of Mohs surgery were simultaneously presented in the case report.

In . . . [Full Text PDF of this Article]

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