TY - JOUR
T1 - Safety of Periocular Mohs Reconstruction
T2 - A Two-Center Retrospective Study
AU - Clark, Matthew L.
AU - Kneiber, Diana
AU - Neal, Donald
AU - Etzkorn, Jeremy
AU - Maher, Ian A.
N1 - Publisher Copyright:
© 2019 by the American Society for Dermatologic Surgery, Inc.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - BACKGROUND Repair of periocular defects poses unique functional and aesthetic challenges. Data on the safety of periocular repairs by Mohs surgeons are limited. OBJECTIVE Analyze the frequency and types of postreconstruction complications encountered with periocular repairs performed by Mohs surgeons, identify risk factors associated with complications, and enumerate interventions for complications encountered. MATERIALS AND METHODS An institutional review board-approved retrospective study on periocular repairs performed by Mohs surgeons at 2 academic institutions between 07 2013 and 06 2016. Patients undergoing periocular Mohs surgery were identified via billing codes. Patient demographics and surgery details were recorded. Follow-up visit notes were reviewed for postoperative complications and interventions performed. RESULTS Two hundred ten cases were included in the analysis. The most common locations for postreconstruction complications were the medial canthus (57%) and lower eyelid (37%). The complications identified included medial canthal webbing (4.3%), hypertrophic scarring (4.3%), ectropion (1.9%), infection (1.4%), pincushioning (1.4%), and epiphora (1.0%). The most common postoperative intervention was intralesional triamcinolone. Scar revision was performed in 2.4% of all cases. CONCLUSION Periocular repairs performed by Mohs surgeons have a similar safety profile as repairs performed by oculoplastic surgeons.
AB - BACKGROUND Repair of periocular defects poses unique functional and aesthetic challenges. Data on the safety of periocular repairs by Mohs surgeons are limited. OBJECTIVE Analyze the frequency and types of postreconstruction complications encountered with periocular repairs performed by Mohs surgeons, identify risk factors associated with complications, and enumerate interventions for complications encountered. MATERIALS AND METHODS An institutional review board-approved retrospective study on periocular repairs performed by Mohs surgeons at 2 academic institutions between 07 2013 and 06 2016. Patients undergoing periocular Mohs surgery were identified via billing codes. Patient demographics and surgery details were recorded. Follow-up visit notes were reviewed for postoperative complications and interventions performed. RESULTS Two hundred ten cases were included in the analysis. The most common locations for postreconstruction complications were the medial canthus (57%) and lower eyelid (37%). The complications identified included medial canthal webbing (4.3%), hypertrophic scarring (4.3%), ectropion (1.9%), infection (1.4%), pincushioning (1.4%), and epiphora (1.0%). The most common postoperative intervention was intralesional triamcinolone. Scar revision was performed in 2.4% of all cases. CONCLUSION Periocular repairs performed by Mohs surgeons have a similar safety profile as repairs performed by oculoplastic surgeons.
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U2 - 10.1097/DSS.0000000000002119
DO - 10.1097/DSS.0000000000002119
M3 - Article
C2 - 31490309
AN - SCOPUS:85082780017
SN - 1076-0512
VL - 46
SP - 521
EP - 524
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 4
ER -