TY - JOUR
T1 - Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose
T2 - A Multicenter Prospective Cohort Study
AU - Perz, Allison M.
AU - Lukowiak, Tess M.
AU - Lee, Michael P.
AU - Neal, Donald
AU - Aizman, Leora
AU - Miller, Christopher J.
AU - Golda, Nicholas
AU - Albertini, John G.
AU - Holmes, Todd
AU - Bar, Anna
AU - Leitenberger, Justin
AU - Maher, Ian
AU - Sobanko, Joseph F.
AU - Chen, David
AU - Hollmig, Tyler
AU - Aasi, Sumaira
AU - Sutton, Adam
AU - Higgins, H. William
AU - Shin, Thuzar M.
AU - Weinberger, Christine
AU - Mattox, Adam
AU - Wysong, Ashley
AU - Etzkorn, Jeremy R.
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/2/1
Y1 - 2023/2/1
N2 - BACKGROUNDDermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited.OBJECTIVETo determine the rate of physician-reported complications after interpolated flap repair of the nose.METHODSMulticenter, prospective cohort study of 169 patients undergoing 2-stage interpolated flap repair of post-Mohs nasal defects. Frequency of bleeding, infection, dehiscence, necrosis, hospitalization, and death in the 30 days after flap placement and flap takedown are reported.RESULTSPatients experienced 23 complications after flap placement (13.61%) and 6 complications after flap takedown (3.55%) that were related to the surgical procedure. The most frequent complication after flap placement was bleeding (9, 5.33%, 95% confidence interval [CI]: 2.83%-9.82%). The most frequent complication after flap takedown was infection (5, 2.96%, 95% CI: 1.27%-6.74%). There was one hospitalization related to an adverse reaction to antibiotics. There were no deaths.CONCLUSIONMost complications after interpolated flap repair for post-Mohs defects of the nose are minor and are associated with flap placement. Interpolated flap repair for post-Mohs defects can be performed safely in the outpatient setting under local anesthesia.
AB - BACKGROUNDDermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited.OBJECTIVETo determine the rate of physician-reported complications after interpolated flap repair of the nose.METHODSMulticenter, prospective cohort study of 169 patients undergoing 2-stage interpolated flap repair of post-Mohs nasal defects. Frequency of bleeding, infection, dehiscence, necrosis, hospitalization, and death in the 30 days after flap placement and flap takedown are reported.RESULTSPatients experienced 23 complications after flap placement (13.61%) and 6 complications after flap takedown (3.55%) that were related to the surgical procedure. The most frequent complication after flap placement was bleeding (9, 5.33%, 95% confidence interval [CI]: 2.83%-9.82%). The most frequent complication after flap takedown was infection (5, 2.96%, 95% CI: 1.27%-6.74%). There was one hospitalization related to an adverse reaction to antibiotics. There were no deaths.CONCLUSIONMost complications after interpolated flap repair for post-Mohs defects of the nose are minor and are associated with flap placement. Interpolated flap repair for post-Mohs defects can be performed safely in the outpatient setting under local anesthesia.
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U2 - 10.1097/DSS.0000000000003653
DO - 10.1097/DSS.0000000000003653
M3 - Article
C2 - 36728063
AN - SCOPUS:85147389921
SN - 1076-0512
VL - 49
SP - 135
EP - 139
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 2
ER -