Reconstruction after Mohs cancer excision.
At our institution, 363 skin defects following Mohs excision for carcinoma were repaired in a two-year period. The majority of the patients were women (62%). Most repairs were to the nose (42%), and almost all followed basal cell carcinoma excision (91% of tumor types). Flaps were preferable to skin grafts for facial repair, with forehead and nasolabial flaps particularly useful for the nose. Injection of Kenalog (triamcinolone acetonide, 5-20 mg/mL) speeds the maturation of scars and flaps.
Rudolph
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Division of Plastic and Reconstructive Surgery, Scripps Clinic and Research Foundation, La Jolla, California.
Miller
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SH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002140:California; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery / Q000009:adverse effects*; D012878:Skin Neoplasms / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods* / Q000592:standards; D013518:Surgery, Plastic / Q000379:methods* / Q000592:standards; D016896:Treatment Outcome