Vascular Postoperative Changes After Facial Flap Repairs: An Opportunity for Early Intervention.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-01-01 Epub Date: 2024-07-23 DOI:10.1097/DSS.0000000000004352

Hannah S Berman, Olufolakemi Awe, Michael G Heckman, Launia J White, Osward Y Carrasquillo, Naiara Barbosa, Bradley Merritt, Catherine A Degesys

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引用次数: 0

Abstract

Background: Flap repair provides unique advantages in facial reconstruction but still carries the potential for undesirable postoperative cosmetic changes.

Objective: The aims of this study were to describe postoperative vascular outcomes of patients undergoing flap repairs after Mohs micrographic surgery on facial tumors and to assess associations of baseline characteristics with outcomes.

Materials and methods: In this study, 7 dermatologists and 1 physician assistant in dermatology assessed preoperative and postoperative photographs of 57 patients who underwent facial Mohs micrographic surgery, evaluating vascular and pigment outcomes and number of telangiectasias.

Results: There was a significant difference in number of telangiectasias according to body location ( p = .002), where the number of telangiectasias was highest for nose surgery.

Conclusion: These data suggest that nasal flap repairs are associated with increased postoperative vascular changes. This highlights an opportunity for improved preoperative patient counseling and possible early laser treatment after nasal Mohs micrographic surgery.

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面瓣修复术后的血管变化：早期干预的机会。

背景：皮瓣修复在面部重建中具有独特的优势，但术后仍有可能出现不理想的外观变化：本研究的目的是描述面部肿瘤莫氏显微手术后接受皮瓣修复术的患者术后的血管效果，并评估基线特征与效果之间的关联：在这项研究中，7名皮肤科医生和1名皮肤科助理医生评估了57名接受面部莫氏显微手术患者的术前和术后照片，评估了血管和色素结果以及毛细血管扩张的数量：结果：毛细血管瘤的数量因身体部位不同而存在明显差异（p = .002），其中鼻部手术的毛细血管瘤数量最多：这些数据表明，鼻皮瓣修复与术后血管病变的增加有关。结论：这些数据表明，鼻皮瓣修复与术后血管病变的增加有关，这为改善术前患者咨询和鼻部莫氏显微手术后早期激光治疗提供了机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.