Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases
An. bras. dermatol
;
96(4): 408-415, July-Aug. 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1285105
ABSTRACT
Abstract Background:
The ear is a region that has a high prevalence of cutaneous carcinomas and several guidelines indicate Mohs micrographic surgery as the first-choice treatment in such cases. Although the technique allows maximum preservation of healthy tissue, many auricular surgical wounds constitute a challenge due to the peculiar local anatomy, with evident curves and reliefs. Auricular reconstruction should prioritize function before aesthetics, but without leaving the latter aside, since postoperative distortions can have a significant psychological impact.Objective:
To describe the authors' experience in auricular reconstruction after Mohs surgery and to evaluate the most frequently used repair methods.Methods:
Retrospective study of consecutive cases submitted to Mohs surgery and auricular reconstruction, over a period of 3 years.Results:
One hundred and one cases were included and the most common repair method was primary closure (n = 35), followed by full-thickness skin graft (n = 30) and flaps (n = 24). In thirty cases, reconstruction methods were associated. Seven patients had complications (partial graft necrosis, postoperative bleeding or infection). Studylimitations:
Retrospective design and the absence of long-term follow-up of some cases.Conclusions:
The dermatologic surgeon should be familiarized with different options for auricular reconstruction. Primary closure and skin grafts were the most frequently used repair methods.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Skin Neoplasms
/
Mohs Surgery
Type of study:
Practice guideline
/
Observational study
/
Risk factors
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Mato Grosso do Sul/BR
/
Universidade Federal do Paraná/BR
/
Universidade de São Paulo/BR
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