Optimal Timing of Reconstruction When Using Tissue Grafts After Mohs Micrographic Surgery

Abstract

It is important to counsel patients regarding patient-specific and perioperative factors that may improve graft survival. In this study, we found that early reconstruction and male sex were associated with increased rates of postoperative complications in FTSG and composite graft recipients. It may be particularly important to consider graft delay as a method of improving graft viability even in composite graft recipients or those with risk factors for adverse outcomes, such as smokers. Further study is needed into the direct association between wound bed granulation tissue with graft success. Prospective study is also needed to confirm our findings and those by prior groups.