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Mohs micrographic surgeons encounter neurosurgical hardware in practice; yet, little guidance exists regarding relevant considerations for this hardware. Our objective was to review the preoperative, intraoperative, and postoperative management of neurosurgical hardware encountered during Mohs micrographic surgery. Herein, we reviewed the dermatologic surgery and neurosurgery literature for pertinent articles. Additionally, we referenced institutional cases in which neurosurgical hardware was encountered. Mohs micrographic surgeons may encounter deep brain stimulators, spinal cord stimulators, ventricular shunts, Ommaya reservoirs, cranioplasty hardware, and cochlear implants intraoperatively. Multidisciplinary management may be necessary to optimize outcomes. Through preoperative consultation and careful planning, Mohs micrographic surgeons can provide effective care to patients with neurosurgical hardware.
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Nosewicz et al. (2026) studied this question.
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