Complications in facial Mohs defect reconstruction
| Autor: | Angelique M. Berens, Sapna A. Patel, Sarah R. Akkina |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Contracture medicine.medical_treatment Eyebrow Nose Neoplasms Nose Nose neoplasm Surgical Flaps Surgical Wound Dehiscence 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Postoperative Complications Mohs surgery medicine Humans Surgical Wound Infection 030223 otorhinolaryngology business.industry Microstomia Dermabrasion Suture Techniques Ectropion Plastic Surgery Procedures medicine.disease Mohs Surgery Surgery medicine.anatomical_structure Cartilage Otorhinolaryngology Eyelid business |
| Zdroj: | Current opinion in otolaryngologyhead and neck surgery. 25(4) |
| ISSN: | 1531-6998 |
| Popis: | Purpose of review To review the recent literature in regards to complications after reconstruction of Mohs defects, outline common pitfalls and to discuss the literature on avoiding complications as outlined per aesthetic subunit. Recent findings Complications in facial Mohs reconstruction commonly consist of infection, wound necrosis and dehiscence, hematoma and suboptimal scarring. However, site-specific complications such as hairline or eyebrow distortion, eyelid retraction or ectropion, nasal contour abnormality, alar retraction, nasal valve compromise, significant facial asymmetry or even oral incompetence must also be considered. Summary A successful reconstruction mimics the premorbid state and maintains function. The use of perioperative antibiotics, sterile technique, meticulous hemostasis, subcutaneous dissection and deep sutures to minimize wound tension should be considered for all Mohs reconstructions. Cartilage grafting can minimize nasal deformity and obstruction. Reconstruction near the lower eyelid should employ periosteal suspension sutures to minimize downward tension and lid retraction. Perioral complications, such as microstomia and oral incompetence, typically improve with time and therapy. Always consider secondary procedures such as dermabrasion, steroid injection, scar revision and laser resurfacing to help optimize aesthetic outcome. |
| Databáze: | OpenAIRE |
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