Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases

Bittner, Guilherme Canho; Kubo, Elisa Mayumi; Fantini, Bruno de Carvalho; Cerci, Felipe B.

doi:10.1016/j.abd.2020.12.008

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…The most common reconstructive options for partial-thickness ear defects and those less than 1.5cm are primary closure and full-thickness skin grafts. 98,99 However, there is little evidence for the optimal repair of both large partial-thickness and full-thickness defects of the ear. Level III evidence supports the use of secondary intention for helical defects between 1-3cm that minimally involve cartilage.…”

Section: Ear Defectsmentioning

confidence: 99%

State of the Evidence for Facial Skin Cancer Reconstruction

et al. 2023

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This review provides a comprehensive presentation of the evidence available in facial reconstruction post-Mohs Micrographic Surgery. Given the large diversity in post-Mohs reconstruction, there are limited guidelines in the management of defects. The aim of the present work is to provide a review of the best evidence as it pertains to several considerations in facial reconstruction. Data suggests that Mohs Micrographic Surgery and many reconstructive procedures can be performed as outpatient procedures under local anesthesia, with narcotic pain medication only given in certain patient populations following a minority of reconstructive procedures. Perioperative and topical antibiotics are generally not indicated. Aspirin and Warfarin can generally be continued for most reconstructive procedures, but clopidogrel and novel anticoagulants may predispose to increased bleeding complications. Delayed reconstruction appears to be safe, although data is discordant on this topic. No specific wound closure technique or suture choice appears to be consistently superior. Given the lack of robust comparative studies, consistent methodology, and variable defect sizes/ locations, no robust evidence-based guidelines can be generated for reconstruction techniques of facial subsites.

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Section: Ear Defectsmentioning

confidence: 99%

State of the Evidence for Facial Skin Cancer Reconstruction

et al. 2023

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“…Despite the abundance of literature that exists detailing ear reconstruction [ 1 , 2 , 3–19 ], no single surgical plan befits all reconstructive needs and individualized treatment plans are necessary. Single-stage auricular reconstruction can be particularly challenging due to the distinct anatomy of the ear and the need to prioritize both function and aesthetic [ 20 ]. Single-stage reconstructive sequences can be favorable in the elderly population and for those with comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Auricular reconstruction after Mohs excision utilizing combination of pre-auricular transposition and chondrocutaneous advancement flaps

Kuruvilla

Gopman

Henderson

2022

Case Reports in Plastic Surgery and Hand Surgery

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Review of infection and bleeding complications in excisional skin surgery

Richards,

Brown,

Wernham

2023

Clinical and Experimental Dermatology

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Skin excision is the primary treatment for skin cancer. Complication rates from skin cancer excision are generally low but rates of complications may vary according to procedural complexity, site, and patient factors. It is important that patients are fully informed through the consent process considering individual circumstances, the Montgomery ruling and material risks. The clinician must use an evidence-based approach to the consent process and assessment of risk. We have searched the literature and reviewed the current evidence regarding complications, and their incidence where applicable following excisional skin surgery. This article aims to enable clinicians to better inform patients during the consent process of associated bleeding and infection risk.

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Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases

Cited by 4 publications

References 21 publications

State of the Evidence for Facial Skin Cancer Reconstruction

State of the Evidence for Facial Skin Cancer Reconstruction

Auricular reconstruction after Mohs excision utilizing combination of pre-auricular transposition and chondrocutaneous advancement flaps

Review of infection and bleeding complications in excisional skin surgery

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