title: Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features: a cross-sectional study.
abstract: BACKGROUND
  There are few data to indicate whether the type of final wound defect is associated with the type of post-Mohs repair.
  
  
  OBJECTIVE
  To determine the methods of reconstruction that Mohs surgeons typically select and, secondarily, to assess the association between the method and the number of stages, tumor type, anatomic location, and patient and surgeon characteristics.
  
  
  METHODS
  Statistical analysis of procedure logs of 20 representative young to mid-career Mohs surgeons.
  
  
  RESULTS
  The number of stages associated with various repairs were different (analysis of variance, p < .001.). Linear repairs, associated with the fewest stages (1.5), were used most commonly (43-55% of defects). Primary repairs were used for 20.2% to 35.3% of defects of the nose, eyelids, ears, and lips. Local flaps were performed typically after two stages of Mohs surgery (range 1.98-2.06). Referral for repair and skin grafts were associated with cases with more stages (2.16 and 2.17 stages, respectively). Experienced surgeons were nominally more likely perform flaps than grafts. Regression analyses did not indicate any association between patient sex and closure type (p = .99) or practice location and closure type (p = .99).
  
  
  CONCLUSIONS
  Most post-Mohs closures are linear repairs, with more bilayered linear repairs more likely at certain anatomic sites and after a larger number of stages.
authors.affiliation: Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA. m-alam@northwestern.edu
authors.forename: Murad
authors.initials: M
authors.lastname: Alam
authors.forename: Irene B
authors.initials: IB
authors.lastname: Helenowksi
authors.forename: Joel L
authors.initials: JL
authors.lastname: Cohen
authors.forename: Ross
authors.initials: R
authors.lastname: Levy
authors.forename: Nanette
authors.initials: N
authors.lastname: Liégeois
authors.forename: Erick A
authors.initials: EA
authors.lastname: Mafong
authors.forename: Maureen A
authors.initials: MA
authors.lastname: Mooney
authors.forename: Kishwer S
authors.initials: KS
authors.lastname: Nehal
authors.forename: Tri H
authors.initials: TH
authors.lastname: Nguyen
authors.forename: Desiree
authors.initials: D
authors.lastname: Ratner
authors.forename: Tom
authors.initials: T
authors.lastname: Rohrer
authors.forename: Chrysalyne D
authors.initials: CD
authors.lastname: Schmults
authors.forename: Stephen
authors.initials: S
authors.lastname: Tan
authors.forename: Jaeyoung
authors.initials: J
authors.lastname: Yoon
authors.forename: Rohit
authors.initials: R
authors.lastname: Kakar
authors.forename: Alfred W
authors.initials: AW
authors.lastname: Rademaker
authors.forename: Lucile E
authors.initials: LE
authors.lastname: White
authors.forename: Simon
authors.initials: S
authors.lastname: Yoo
mesh_terms: D000704:Analysis of Variance; D002280:Basal Cell Carcinoma / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002983:Clinical Competence / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D005843:Geography / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015580:Mohs Surgery / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D019651:Plastic Surgery Procedures / Q000379:methods / Q000706:statistics & numerical data; D012044:Regression Analysis; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation / Q000706:statistics & numerical data; D013524:Surgical Flaps / Q000706:statistics & numerical data; D014481:United States; D058106:Wound Closure Techniques / Q000706:statistics & numerical data