학술논문
Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose: A Multicenter Prospective Cohort Study.
Document Type
Article
Author
Perz, Allison M.; Lukowiak, Tess M.; Lee, Michael P.; Neal, Donald; Aizman, Leora; Miller, Christopher J.; Golda, Nicholas; Albertini, John G.; Holmes, Todd; Bar, Anna; Leitenberger, Justin; Maher, Ian; Sobanko, Joseph F.; Chen, David; Hollmig, Tyler; Aasi, Sumaira; Sutton, Adam; Higgins II, H. William; Shin, Thuzar M.; Weinberger, Christine
Source
Subject
*SURGICAL complications
*COHORT analysis
*LONGITUDINAL method
*NOSE
*RHINOPLASTY
*ONCOLOGIC surgery
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Language
ISSN
1076-0512
Abstract
Supplemental Digital Content is Available in the Text. BACKGROUND: Dermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited. OBJECTIVE: To determine the rate of physician-reported complications after interpolated flap repair of the nose. METHODS: Multicenter, 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. RESULTS: Patients 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. CONCLUSION: Most 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. [ABSTRACT FROM AUTHOR]