Predictors of Reconstruction with Mohs Removal of Nonmelanoma Skin Cancers

Boyle, Kristen E.; Newlands, Shawn D.; Wagner, Richard F.; Resto, Vicente A.

doi:10.1097/mlg.0b013e31816a8cf2

Cited by 11 publications

(6 citation statements)

References 25 publications

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“…One might infer that higher complexity of a Mohs case would lead to a need for advanced reconstruction, however, the two are not necessarily directly related. Our results were similar to Boyle et al's in that tumors on the nose were predictive of being complex and requiring advanced reconstruction; however, that study did not find that tumor size or primary versus recurrent tumors were predictive of advanced reconstruction (12). Tumors included in that study were identified as either BCC or SCC, and were not further separated by subtype (12).…”

Section: Discussionsupporting

confidence: 90%

“…Histologic subtype, tumor size, tumor site, and patient demographics were not associated with recurrence in this study (11). In a study examining clinical predictors of cases requiring advanced reconstruction after MMS, Boyle et al found that age (younger patients, mean age 64 vs. older patients, mean age 67), tumor site (nose and periocular skin), and a past history of reconstruction after resection of a previous skin tumor, were predictive of the need for advanced reconstruction (12). One might infer that higher complexity of a Mohs case would lead to a need for advanced reconstruction, however, the two are not necessarily directly related.…”

Section: Discussionmentioning

confidence: 65%

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Factors predictive of complex Mohs surgery cases

Sahai

Walling²

2011

Journal of Dermatological Treatment

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 65%

Factors predictive of complex Mohs surgery cases

Sahai

Walling²

2011

Journal of Dermatological Treatment

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“…With a sample of 751 individuals who underwent MMS, Boyle and colleagues found that young patient age, defect site (nasal or periocular) and history of a previous reconstruction determined the use of advanced reconstruction (here defined as repair other than primary closure and secondary wound granulation). In this study the size of the tumour did not predict the use of advanced reconstructive techniques.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting choice of repair in Mohs micrographic surgery for non‐melanoma skin cancer of the head

Thomas

Lam

et al. 2016

Aust J Dermatology

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Our study has demonstrated that the performing surgeon is a relevant factor in the determination of defect size and repair methods in MMS. The factors underlying this variability require further study as decisions on closure method should be made objectively, based on patient-related and tumour-related factors. As expected, the location and size of the defect are the other factors that determine the chosen method of repair.

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“…These numbers impressively highlight the need for greater details about the prevention, the diagnosis, the treatment, and the outcomes of skin cancer. Contrary to other studies, 3 this study included more men (58.6%) than women (41.5%). However, our result is consistent with the general trend in the U.S. of increasing number of older white men who develop skin cancer.…”

Section: Discussionmentioning

confidence: 88%

Patient, Defect, and Surgical Factors Influencing Use of Ancillary Procedures after Facial Mohs Repairs

et al. 2021

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This article determines if patient, defect, and repair factors can be used to predict the use of additional treatments to achieve optimal aesthetic results after repair of facial Mohs defects. An electronic chart review of patients undergoing Mohs excision and reconstruction of facial neoplasms from November 2005 to April 2017 was performed, reviewing patient demographics and history, tumor size, defect size and location, method and service of reconstruction, time between resection and repair, complications, and subsequent treatments. A total of 1,500 cases with basal cell and squamous cell carcinoma were analyzed. The average defect size was 3.09 ± 8.06 cm2; 81.9% of defects were less than 4 cm2 in size. Advancement flaps were used to repair 44.3% of defects. Complications and undesired sequelae (CUS) were noted in 15.9% of cases; scar hypertrophy or keloid (10.8%) was most common. Postoperative ancillary procedures were performed in less than one-quarter (23.4%) of patients to enhance the postrepair appearance; the most common procedures were intralesional corticosteroid injections and pulse dye laser treatments. CUS were more likely in females (19.6%), defects on the lips (28.7%) and on the nose (27.3%) (p < 0.001 for each). Females (22.7% vs. 12.7%), lip repairs (40.2% vs. 18.3%), transposition flaps (39.2% vs. 14.8%), and repairs performed by a dermatologist (17.9% vs. 11.2%) (p < 0.001 for each) were more likely to be treated with postoperative corticosteroid injections. Females (14.5% vs. 7.4%), patients under the age of 60 years (13.9% vs. 8.8%), and patients whose repair was performed by a dermatologist (11.9% vs. 2.9%) (p < 0.001 for each) were more likely to receive postoperative pulsed dye laser treatments. CUS and ancillary procedures after repair of facial Mohs defects are uncommon. Awareness of individual risk factors and defect characteristics allows the surgeon to choose the most appropriate repair technique while anticipating the potential need for ancillary procedures.

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Predictors of Reconstruction with Mohs Removal of Nonmelanoma Skin Cancers

Cited by 11 publications

References 25 publications

Factors predictive of complex Mohs surgery cases

Factors predictive of complex Mohs surgery cases

Factors affecting choice of repair in Mohs micrographic surgery for non‐melanoma skin cancer of the head

Patient, Defect, and Surgical Factors Influencing Use of Ancillary Procedures after Facial Mohs Repairs

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