Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose: A Multicenter Prospective Cohort Study

Allison M. Perz, Tess M. Lukowiak, Michael P. Lee, Donald Neal, Leora Aizman, Christopher J. Miller, Nicholas Golda, John G. Albertini, Todd Holmes, Anna Bar, Justin Leitenberger, Ian Maher, Joseph F. Sobanko, David Chen, Tyler Hollmig, Sumaira Aasi, Adam Sutton, H. William Higgins, Thuzar M. Shin, Christine WeinbergerAdam Mattox, Ashley Wysong, Jeremy R. Etzkorn

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

BACKGROUNDDermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited.OBJECTIVETo determine the rate of physician-reported complications after interpolated flap repair of the nose.METHODSMulticenter, prospective cohort study of 169 patients undergoing 2-stage interpolated flap repair of post-Mohs nasal defects. Frequency of bleeding, infection, dehiscence, necrosis, hospitalization, and death in the 30 days after flap placement and flap takedown are reported.RESULTSPatients experienced 23 complications after flap placement (13.61%) and 6 complications after flap takedown (3.55%) that were related to the surgical procedure. The most frequent complication after flap placement was bleeding (9, 5.33%, 95% confidence interval [CI]: 2.83%-9.82%). The most frequent complication after flap takedown was infection (5, 2.96%, 95% CI: 1.27%-6.74%). There was one hospitalization related to an adverse reaction to antibiotics. There were no deaths.CONCLUSIONMost complications after interpolated flap repair for post-Mohs defects of the nose are minor and are associated with flap placement. Interpolated flap repair for post-Mohs defects can be performed safely in the outpatient setting under local anesthesia.

Original languageEnglish (US)
Pages (from-to)135-139
Number of pages5
JournalDermatologic Surgery
Volume49
Issue number2
DOIs
StatePublished - Feb 1 2023

Bibliographical note

Funding Information:
J. R. Etzkorn is supported by a Career Development Award from the Dermatology Foundation, is a member of the Penn Skin Biology and Diseases Resource-Based Center which is supported by an NIH P30 grant, and is a Senior Fellow of the Leonard Davis Institute at the University of Pennsylvania.

Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.

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