Alyssa Breneman, Megan H Trager, Anna Bowling, Emily R Gordon, Karlyn Pollack, Faramarz H Samie
{"title":"Simplifying nasal reconstruction after Mohs surgery: an algorithm based on review of over 400 cases.","authors":"Alyssa Breneman, Megan H Trager, Anna Bowling, Emily R Gordon, Karlyn Pollack, Faramarz H Samie","doi":"10.1093/ced/llaf054","DOIUrl":null,"url":null,"abstract":"<p><p>Literature on reconstruction techniques for post-Mohs nasal defects with particular emphasis on the unique properties of underlying skin is lacking. We aimed to develop an algorithm to simplify the approach to post-Mohs reconstruction of the nose based on defect size, location, and cutaneous features of the surrounding skin. Retrospective review of 404 patients who underwent post-Mohs nasal reconstruction by a single Mohs surgeon between 2018 and 2024 was conducted. Defects were divided into small, medium, and large sizes. Locations were categorized into 3 zones based on cutaneous characteristics. Frequency of reconstructive techniques based on defect size and location was analyzed. Trends towards specific repairs based on the cutaneous location and size of Mohs defects were utilized to develop an algorithm for reconstructive decision making. This algorithm was based on zones defined by cutaneous characteristics, and may serve as an initial guide for surgeons planning reconstruction of nasal defects.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ced/llaf054","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Literature on reconstruction techniques for post-Mohs nasal defects with particular emphasis on the unique properties of underlying skin is lacking. We aimed to develop an algorithm to simplify the approach to post-Mohs reconstruction of the nose based on defect size, location, and cutaneous features of the surrounding skin. Retrospective review of 404 patients who underwent post-Mohs nasal reconstruction by a single Mohs surgeon between 2018 and 2024 was conducted. Defects were divided into small, medium, and large sizes. Locations were categorized into 3 zones based on cutaneous characteristics. Frequency of reconstructive techniques based on defect size and location was analyzed. Trends towards specific repairs based on the cutaneous location and size of Mohs defects were utilized to develop an algorithm for reconstructive decision making. This algorithm was based on zones defined by cutaneous characteristics, and may serve as an initial guide for surgeons planning reconstruction of nasal defects.
期刊介绍：
Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.
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