Factors affecting outcomes of second intent healing of nasal defects after Mohs micrographic surgery
Reconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity, and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on th...
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| Veröffentlicht in: | Archives of dermatological research 2023-01, Vol.315 (1), p.67-73 |
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| creator | Kim, David Nam-Woo Kibbi, Nour Christensen, Sean R. Leffell, David J. Suozzi, Kathleen C. |
| description | Reconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity, and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on the nose have not been well described. The purpose of the study was to identify factors impacting outcomes of SIH for nasal tumors following MMS. Retrospective analysis was performed of all nasal lesions treated with MMS followed by SIH from a single surgical center over a 1.5-year period. Ninety-six cases were included. Chart review was performed, and data were collected including age, gender, nasal site, tumor type, defect size, depth, and number of MMS stages. Pre- and post-operative follow-up photographs were available for all cases. All five authors evaluated the photographs using the modified Manchester scar scale. Analysis was then conducted to identify features associated with good outcomes. Of the 96 tumors, 39 lesions (40.6%) were located on the nasal tip (including supratip), 32 (33.3%) on the ala/alar groove, 17 (17.7%) on the sidewall, and 8 (8.3%) on the dorsum. The average defect size was 0.83 cm
2
(diameter of 1.06 cm ± 0.4). Defect diameter and defect depth were the factors that significantly impacted scar outcome (
p
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| doi_str_mv | 10.1007/s00403-021-02306-y |
| format | Article |
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2
(diameter of 1.06 cm ± 0.4). Defect diameter and defect depth were the factors that significantly impacted scar outcome (
p
< 0.001) in multivariate analysis. No significant functional deficits were reported. This retrospective study suggests that nasal defects with area less than 0.83 cm
2
(or 1.06 cm diameter) and depth of defect not extending beyond the superficial fat healed well by SIH regardless of location on the nose.</description><identifier>ISSN: 1432-069X</identifier><identifier>ISSN: 0340-3696</identifier><identifier>EISSN: 1432-069X</identifier><identifier>DOI: 10.1007/s00403-021-02306-y</identifier><identifier>PMID: 35112163</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cicatrix - surgery ; Defects ; Dermatology ; Head & neck cancer ; Humans ; Medicine ; Medicine & Public Health ; Melanoma ; Micrography ; Mohs Surgery - adverse effects ; Multivariate analysis ; Nose ; Original Paper ; Reconstructive surgery ; Retrospective Studies ; Rhinoplasty - methods ; Skin cancer ; Skin Neoplasms - surgery ; Squamous cell carcinoma ; Surgical Flaps ; Tumors ; Wound healing</subject><ispartof>Archives of dermatological research, 2023-01, Vol.315 (1), p.67-73</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-940852c7d9699f1ca18b63ac57c36b4336d1631c8e1201216db9ab91810a3a283</cites><orcidid>0000-0002-0101-7846</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00403-021-02306-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00403-021-02306-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35112163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, David Nam-Woo</creatorcontrib><creatorcontrib>Kibbi, Nour</creatorcontrib><creatorcontrib>Christensen, Sean R.</creatorcontrib><creatorcontrib>Leffell, David J.</creatorcontrib><creatorcontrib>Suozzi, Kathleen C.</creatorcontrib><title>Factors affecting outcomes of second intent healing of nasal defects after Mohs micrographic surgery</title><title>Archives of dermatological research</title><addtitle>Arch Dermatol Res</addtitle><addtitle>Arch Dermatol Res</addtitle><description>Reconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity, and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on the nose have not been well described. The purpose of the study was to identify factors impacting outcomes of SIH for nasal tumors following MMS. Retrospective analysis was performed of all nasal lesions treated with MMS followed by SIH from a single surgical center over a 1.5-year period. Ninety-six cases were included. Chart review was performed, and data were collected including age, gender, nasal site, tumor type, defect size, depth, and number of MMS stages. Pre- and post-operative follow-up photographs were available for all cases. All five authors evaluated the photographs using the modified Manchester scar scale. Analysis was then conducted to identify features associated with good outcomes. Of the 96 tumors, 39 lesions (40.6%) were located on the nasal tip (including supratip), 32 (33.3%) on the ala/alar groove, 17 (17.7%) on the sidewall, and 8 (8.3%) on the dorsum. The average defect size was 0.83 cm
2
(diameter of 1.06 cm ± 0.4). Defect diameter and defect depth were the factors that significantly impacted scar outcome (
p
< 0.001) in multivariate analysis. No significant functional deficits were reported. This retrospective study suggests that nasal defects with area less than 0.83 cm
2
(or 1.06 cm diameter) and depth of defect not extending beyond the superficial fat healed well by SIH regardless of location on the nose.</description><subject>Cicatrix - surgery</subject><subject>Defects</subject><subject>Dermatology</subject><subject>Head & neck cancer</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Melanoma</subject><subject>Micrography</subject><subject>Mohs Surgery - adverse effects</subject><subject>Multivariate analysis</subject><subject>Nose</subject><subject>Original Paper</subject><subject>Reconstructive surgery</subject><subject>Retrospective Studies</subject><subject>Rhinoplasty - methods</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - surgery</subject><subject>Squamous cell carcinoma</subject><subject>Surgical Flaps</subject><subject>Tumors</subject><subject>Wound healing</subject><issn>1432-069X</issn><issn>0340-3696</issn><issn>1432-069X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9PwyAYxonRuDn9Ah4MiRcvVV7oaHs0i1MTjRdNvBFK6dalLRPood9eus4_8eCBQMLveXh4H4TOgVwDIcmNIyQmLCIUwmKER_0BmkLMaER49n746zxBJ85tSBAlKRyjCZsDUOBsioqlVN5Yh2VZauWrdoVN55VptMOmxE4r0xa4ar1uPV5rWe-IErfSyRoXehANYq8tfjZrh5tKWbOycruuFHadXWnbn6KjUtZOn-33GXpb3r0uHqKnl_vHxe1TpBjlPspiks6pSoqMZ1kJSkKacybVPFGM5zFjvAiZQaUaKBnyF3km8wxSIJJJmrIZuhp9t9Z8dNp50VRO6bqWrTadE5TTOeUpAAvo5R90YzrbhnSCJpykPGYZDRQdqfAn56wuxdZWjbS9ACKGDsTYgQgdiF0Hog-ii711lze6-JZ8DT0AbARcuGrDgH7e_sf2E4f3kb0</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Kim, David Nam-Woo</creator><creator>Kibbi, Nour</creator><creator>Christensen, Sean R.</creator><creator>Leffell, David J.</creator><creator>Suozzi, Kathleen C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0101-7846</orcidid></search><sort><creationdate>20230101</creationdate><title>Factors affecting outcomes of second intent healing of nasal defects after Mohs micrographic surgery</title><author>Kim, David Nam-Woo ; Kibbi, Nour ; Christensen, Sean R. ; Leffell, David J. ; Suozzi, Kathleen C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-940852c7d9699f1ca18b63ac57c36b4336d1631c8e1201216db9ab91810a3a283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cicatrix - surgery</topic><topic>Defects</topic><topic>Dermatology</topic><topic>Head & neck cancer</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Melanoma</topic><topic>Micrography</topic><topic>Mohs Surgery - adverse effects</topic><topic>Multivariate analysis</topic><topic>Nose</topic><topic>Original Paper</topic><topic>Reconstructive surgery</topic><topic>Retrospective Studies</topic><topic>Rhinoplasty - methods</topic><topic>Skin cancer</topic><topic>Skin Neoplasms - surgery</topic><topic>Squamous cell carcinoma</topic><topic>Surgical Flaps</topic><topic>Tumors</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, David Nam-Woo</creatorcontrib><creatorcontrib>Kibbi, Nour</creatorcontrib><creatorcontrib>Christensen, Sean R.</creatorcontrib><creatorcontrib>Leffell, David J.</creatorcontrib><creatorcontrib>Suozzi, Kathleen C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of dermatological research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, David Nam-Woo</au><au>Kibbi, Nour</au><au>Christensen, Sean R.</au><au>Leffell, David J.</au><au>Suozzi, Kathleen C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting outcomes of second intent healing of nasal defects after Mohs micrographic surgery</atitle><jtitle>Archives of dermatological research</jtitle><stitle>Arch Dermatol Res</stitle><addtitle>Arch Dermatol Res</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>315</volume><issue>1</issue><spage>67</spage><epage>73</epage><pages>67-73</pages><issn>1432-069X</issn><issn>0340-3696</issn><eissn>1432-069X</eissn><abstract>Reconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity, and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on the nose have not been well described. The purpose of the study was to identify factors impacting outcomes of SIH for nasal tumors following MMS. Retrospective analysis was performed of all nasal lesions treated with MMS followed by SIH from a single surgical center over a 1.5-year period. Ninety-six cases were included. Chart review was performed, and data were collected including age, gender, nasal site, tumor type, defect size, depth, and number of MMS stages. Pre- and post-operative follow-up photographs were available for all cases. All five authors evaluated the photographs using the modified Manchester scar scale. Analysis was then conducted to identify features associated with good outcomes. Of the 96 tumors, 39 lesions (40.6%) were located on the nasal tip (including supratip), 32 (33.3%) on the ala/alar groove, 17 (17.7%) on the sidewall, and 8 (8.3%) on the dorsum. The average defect size was 0.83 cm
2
(diameter of 1.06 cm ± 0.4). Defect diameter and defect depth were the factors that significantly impacted scar outcome (
p
< 0.001) in multivariate analysis. No significant functional deficits were reported. This retrospective study suggests that nasal defects with area less than 0.83 cm
2
(or 1.06 cm diameter) and depth of defect not extending beyond the superficial fat healed well by SIH regardless of location on the nose.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35112163</pmid><doi>10.1007/s00403-021-02306-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0101-7846</orcidid></addata></record> |
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| subjects | Cicatrix - surgery Defects Dermatology Head & neck cancer Humans Medicine Medicine & Public Health Melanoma Micrography Mohs Surgery - adverse effects Multivariate analysis Nose Original Paper Reconstructive surgery Retrospective Studies Rhinoplasty - methods Skin cancer Skin Neoplasms - surgery Squamous cell carcinoma Surgical Flaps Tumors Wound healing |
| title | Factors affecting outcomes of second intent healing of nasal defects after Mohs micrographic surgery |
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