Notice: Users may be experiencing issues with displaying some pages on stanfordhealthcare.org. We are working closely with our technical teams to resolve the issue as quickly as possible. Thank you for your patience.
 

See our updated masking policy »

Stanford Health Care

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. 2022

Abstract

Dermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited.To determine the rate of physician-reported complications after interpolated flap repair of the nose.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.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.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 36728942