Retrospective review of reconstructive methods of conchal bowl defects following mohs micrographic surgery.
BACKGROUND
Mohs micrographic surgery has consistently been demonstrated to be the most effective method for excision of potentially aggressive lesions of the conchal bowl. A variety of techniques are employed to reconstruct the conchal bowl following surgery.


OBJECTIVE
To explore the type and frequency of reconstruction techniques used and the factors influencing the surgeons choice of reconstruction


METHODS



METHODS
Retrospective analysis of 272 patients with conchal bowl tumors.


RESULTS
Split thickness skin grafting was the preferred method of reconstruction. The histopathology of the lesions and the size of the post-Mohs defect did not influence the choice of technique, except for lesions less than 1 cm in which healing by secondary intention was favored.


CONCLUSIONS
Tumor size, type, and aggressiveness did not influence repair technique choice. Surgeon preference was therefore the principle factor dictating method of reconstructive technique following Mohs micrographic surgery.
Wines
N
N
Department of Dermatology, Royal North Shore Hospital, St. Leonards, Sydney, New South Wales, Australia.
Ryman
W
W
Matulich
J
J
Wines
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004428:Ear Neoplasms / Q000601:surgery*; D004431:Ear, External / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000601:surgery*; D016896:Treatment Outcome