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Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose: A Multicenter Prospective Cohort Study. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] Perz, A. M., Lukowiak, T. M., Lee, M. P., Neal, D., Aizman, L., Miller, C. J., Golda, N., Albertini, J. G., Holmes, T., Bar, A., Leitenberger, J., Maher, I., Sobanko, J. F., Chen, D., Hollmig, T., Aasi, S., Sutton, A., Higgins, H. W., Shin, T. M., Weinberger, C., Mattox, A., Wysong, A., Etzkorn, J. R. 2023; 49 (2): 135-139

Abstract

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.

View details for DOI 10.1097/DSS.0000000000003653

View details for PubMedID 36728063