Multidisciplinary surgical approach to the treatment of perinasal nonmelanoma skin cancer.

A subgroup of midfacial basal and squamous cell carcinomas invade extensively into the surrounding soft tissues and at times into bone, cartilage, and the nearby cavities. Their management can be optimized by using the combined skills of the Mohs micrographic surgeon and the head and neck surgeon. Relevant tumor biology and anatomy of this area are presented as a background for the discussion of the mechanics involved in tumor extirpation. Reconstructive philosophies and alternatives are reviewed.