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Application of secondary intention for the restoration of the apical triangle after Mohs micrographic surgery

Authors
 Byung Ho Oh  ;  Yeongjoo Oh  ;  Kyoung Ae Nam  ;  Mi Ryung Roh  ;  Kee Yang Chung 
Citation
 JOURNAL OF DERMATOLOGICAL TREATMENT, : epub., 2019 
Journal Title
 JOURNAL OF DERMATOLOGICAL TREATMENT 
ISSN
 0954-6634 
Issue Date
2019
Keywords
Mohs micrographic surgery ; Skin cancer ; apical triangle ; secondary intention ; skin defect
Abstract
Background: Restoring the apical triangle (AT) to maintain the symmetry of the face after Mohs micrographic surgery can be challenging. We have applied secondary intention (SI) after partial closure in cases with large defects. Objective: To compare the cosmetic results between immediate closure (IC) and SI. Methods & Materials: We retrospectively reviewed 24 patients (IC group: n = 15, SI group: n = 9). To evaluate the symmetry, the comparative ratio (CR; area of the AT of the involved side/area of the normal contralateral side) was calculated. Results: The defects were significantly larger in the SI group than in the IC group (588.89 ± 346.53 mm2 vs. 252.87 ± 196.52 mm2, p < .01). While there was no statistically significant difference in average CR, the standard deviation was higher in the SI group (0.95 ± 0.08 vs. 0.93 ± 0.31, p = .3359), indicating the difficulty in predicting the results of SI healing. The average visual analog scale score evaluated by two dermatologists was higher in the IC group, albeit without a significant difference (8.23 ± 0.96 vs. 7.78 ± 1.52, p = .5267). Conclusion: SI after partial closure can be an option for large defects in the AT area
Full Text
https://www.tandfonline.com/doi/full/10.1080/09546634.2019.1666967
DOI
10.1080/09546634.2019.1666967
Appears in Collections:
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kyoung Ae(남경애)
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
Oh, Byung Ho(오병호) ORCID logo https://orcid.org/0000-0001-9575-5665
Oh, Young Ju(오영주)
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175677
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