Application of secondary intention for the restoration of the apical triangle after Mohs micrographic surgery
| Autor: | Mi Ryung Roh, Yeongjoo Oh, Byung Ho Oh, Kee Yang Chung, Kyoung Ae Nam |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Reconstructive surgery medicine.medical_specialty Skin Neoplasms Visual analog scale score Dermatology Micrographic surgery 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans Partial closure Aged Retrospective Studies Aged 80 and over 030203 arthritis & rheumatology Wound Healing business.industry Significant difference Middle Aged Mohs Surgery Secondary intention Female Nuclear medicine business |
| Zdroj: | Journal of Dermatological Treatment. 32:418-423 |
| ISSN: | 1471-1753 0954-6634 |
| DOI: | 10.1080/09546634.2019.1666967 |
| Popis: | Background: Restoring the apical triangle (AT) to maintain the symmetry of the face after Mohs micrographic surgery can be challenging. We have applied secondary intention (SI) after partial closure in cases with large defects. Objective: To compare the cosmetic results between immediate closure (IC) and SI. Methods & Materials: We retrospectively reviewed 24 patients (IC group: n = 15, SI group: n = 9). To evaluate the symmetry, the comparative ratio (CR; area of the AT of the involved side/area of the normal contralateral side) was calculated. Results: The defects were significantly larger in the SI group than in the IC group (588.89 ± 346.53 mm2 vs. 252.87 ± 196.52 mm2, p < .01). While there was no statistically significant difference in average CR, the standard deviation was higher in the SI group (0.95 ± 0.08 vs. 0.93 ± 0.31, p = .3359), indicating the difficulty in predicting the results of SI healing. The average visual analog scale score evaluated by two dermatologists was higher in the IC group, albeit without a significant difference (8.23 ± 0.96 vs. 7.78 ± 1.52, p = .5267). Conclusion: SI after partial closure can be an option for large defects in the AT area. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|