Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases
An. bras. dermatol
; 96(4): 408-415, July-Aug. 2021. tab, graf
Article
in En
| LILACS
| ID: biblio-1285105
Responsible library:
BR1.1
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.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Skin Neoplasms
/
Mohs Surgery
Type of study:
Guideline
/
Observational_studies
/
Risk_factors_studies
Language:
En
Journal:
An. bras. dermatol
Journal subject:
DERMATOLOGIA
Year:
2021
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil