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

Authors

• Allison M. Perz, Cooper Medical School of Rowan University, Camden, New Jersey.
• Tess M. Lukowiak, Drexel University College of Medicine, Philadelphia, Pennsylvania.
• Michael P. Lee, Eastern Virginia Medical School, Norfolk, Virginia.
• Donald Neal, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
• Leora Aizman, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
• Christopher J. Miller, Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
• Nicholas Golda, Department of Dermatology, University of Missouri, Columbia, Missouri.
• John G. Albertini, The Skin Cancer Surgery Center, Winston-Salem, North Carolina.
• Todd Holmes, Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont.
• Anna Bar, Department of Dermatology, Oregon Health & Science University, Portland, Oregon.
• Justin Leitenberger, Department of Dermatology, Oregon Health & Science University, Portland, Oregon.
• Ian Maher, Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
• Joseph F. Sobanko, Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
• David Chen, Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont.
• Tyler Hollmig, Division of Dermatology, University of Texas Dell Medical Center, Austin, Texas.
• Sumaira Aasi, Department of Dermatology, Stanford University, Stanford, California.
• Adam Sutton, Department of Dermatology, University of Nebraska Medical Center, Omaha, Nebraska.
• H William Higgins, Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
• Thuzar M. Shin, Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
• Christine Weinberger, Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont.
• Adam Mattox, Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
• Ashley Wysong, Department of Dermatology, University of Nebraska Medical Center, Omaha, Nebraska.
• Jeremy R. Etzkorn, Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Document Type

Journal Article

Publication Date

2-1-2023

Journal

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]

Volume

49

Issue

2

DOI

10.1097/DSS.0000000000003653

Abstract

BACKGROUND: Dermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited. OBJECTIVE: To determine the rate of physician-reported complications after interpolated flap repair of the nose. METHODS: Multicenter, 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. RESULTS: Patients 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. CONCLUSION: Most 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.

APA Citation

Perz, Allison M.; Lukowiak, Tess M.; Lee, Michael P.; Neal, Donald; Aizman, Leora; Miller, Christopher J.; Golda, Nicholas; Albertini, John G.; Holmes, Todd; Bar, Anna; Leitenberger, Justin; Maher, Ian; Sobanko, Joseph F.; Chen, David; Hollmig, Tyler; Aasi, Sumaira; Sutton, Adam; Higgins, H William; Shin, Thuzar M.; Weinberger, Christine; Mattox, Adam; Wysong, Ashley; and Etzkorn, Jeremy R., "Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose: A Multicenter Prospective Cohort Study" (2023). GW Authored Works. Paper 2472.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/2472

Department

School of Medicine and Health Sciences Student Works