Cigarette smoking and flap and full-thickness graft necrosis

Goldminz, D.

doi:10.1001/archderm.127.7.1012

Cited by 51 publications

(25 citation statements)

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“…Former smokers and lighter smokers did not have a statistically significant difference in the risk of developing tissue necrosis compared with patients who had never smoked. 26 Interestingly, the flap and graft necrosis rate (4.8%) in Goldminz and Bennett's study was higher than the rate (1.9%) seen in our current study. The reason for our lower flap and graft complication rate cannot be determined from a review of Goldminz and Bennett's article.…”

Section: Commentcontrasting

confidence: 78%

“…In the dermatologic literature, Goldminz and Bennett 26 reported on a retrospective study that evaluated the effects of cigarette smoking on tissue survival in wounds repaired after Mohs extirpations. In their smoking and nonsmoking patients, they found some degree of tissue necrosis in 44 (4.8%) of 916 flaps and full-thickness grafts performed during a 10-year period.…”

Section: Commentmentioning

confidence: 99%

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A Prospective Evaluation of the Incidence of Complications Associated With Mohs Micrographic Surgery

Cook

Perone²

2003

Arch Dermatol

188

128

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Section: Commentcontrasting

confidence: 78%

Section: Commentmentioning

confidence: 99%

A Prospective Evaluation of the Incidence of Complications Associated With Mohs Micrographic Surgery

Cook

Perone²

2003

Arch Dermatol

188

128

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“…6 Smoking has been shown to be an important risk factor for wound complications after mastectomy, 10 abdominoplasty, 11 and full-thickness skin grafts, 12 with heavy smokers being most at risk. Nicotine in cigarette smoke is a vasoconstrictor that causes tissue ischemia and impairs healing of injured tissue.…”

Section: Commentmentioning

confidence: 99%

Wound Complications Following Diagnostic Skin Biopsies in Dermatology Inpatients

Wahie¹,

Lawrence²

2007

Arch Dermatol

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To prospectively determine the wound complication rate for dermatology inpatients undergoing diagnostic skin biopsies during their admission and to determine significant host and procedural risk factors.Design: Prospective assessment, by a single observer, of 100 postdiagnostic skin biopsy wounds in dermatology inpatients. The following data were recorded for each patient: age and sex, presence of comorbidities, smoking status, dermatologic diagnosis, use of immunosuppressive or antibiotic therapy, place of biopsy (whether in the operation theater or in the ward), grade of physician performing biopsy, biopsy site on the body, type of biopsy (whether elliptical incision, punch, shave, or curettage), and wound closure technique.Main Outcome Measure: Wounds were designated as having had no complication or as being complicated by infection, dehiscence, and/or hematoma.Setting: A dedicated dermatology inpatient ward in a university teaching hospital.Results: Wound complications occurred in 29 (29%) biopsies, 27 (93%) of which were the result of wound infection. Complications occurred significantly more frequently when biopsies were performed below the waist compared with above the waist (PϽ.02), in the ward compared with the outpatient operating theater (P Ͻ.001), in smokers compared with nonsmokers (P Ͻ.001), and in those taking corticosteroids compared with those who were not (PϽ .001). In addition, elliptical incisional biopsies developed complications more frequently when subcutaneous sutures were not used compared with when they had been used (P Ͻ.001).Conclusions: This study has demonstrated a high rate of wound complications after diagnostic dermatologic surgery on dermatology inpatients with significant host and procedural risk factors. These findings are relevant for other centers with inpatient units where diagnostic biopsies are performed.

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“…Many studies in the literature have demonstrated that cigarettes and nicotine enhance the rate of necrosis in random pattern flaps (14)(15)(16)(17)(18)(19)(20)(21)(22). Possible reasons for smoking to cause necrosis in skin flaps are both multifunctional and complex.…”

mentioning

confidence: 99%

Prevention of unfavourable effects of cigarette smoke on flap viability using botulinum toxin in random pattern flaps: An experimental study

Karayel¹,

Kaya²,

Çaydere³

et al. 2015

CAN J PLAST SURG

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Cigarette smoking and flap and full-thickness graft necrosis

Cited by 51 publications

References 0 publications

A Prospective Evaluation of the Incidence of Complications Associated With Mohs Micrographic Surgery

A Prospective Evaluation of the Incidence of Complications Associated With Mohs Micrographic Surgery

Wound Complications Following Diagnostic Skin Biopsies in Dermatology Inpatients

Prevention of unfavourable effects of cigarette smoke on flap viability using botulinum toxin in random pattern flaps: An experimental study

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