0 437

Cited 0 times in

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, Vol.32(4) : 418-423, 2021-06 
Journal Title
JOURNAL OF DERMATOLOGICAL TREATMENT
ISSN
 0954-6634 
Issue Date
2021-06
MeSH
Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Mohs Surgery / methods* ; Retrospective Studies ; Skin Neoplasms / surgery* ; Wound Healing*
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) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
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
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183994
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links