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Retrospective review of reconstructive methods of conchal bowl defects following mohs micrographic surgery.

机译:莫氏显微外科手术后conconal碗缺陷的重建方法的回顾性回顾。

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BACKGROUND: Mohs micrographic surgery has consistently been demonstrated to be the most effective method for excision of potentially aggressive lesions of the conchal bowl. A variety of techniques are employed to reconstruct the conchal bowl following surgery. OBJECTIVE: To explore the type and frequency of reconstruction techniques used and the factors influencing the surgeons choice of reconstruction METHOD: METHOD: Retrospective analysis of 272 patients with conchal bowl tumors. RESULTS: Split thickness skin grafting was the preferred method of reconstruction. The histopathology of the lesions and the size of the post-Mohs defect did not influence the choice of technique, except for lesions less than 1 cm in which healing by secondary intention was favored. CONCLUSION: Tumor size, type, and aggressiveness did not influence repair technique choice. Surgeon preference was therefore the principle factor dictating method of reconstructive technique following Mohs micrographic surgery.
机译:背景:莫氏显微外科手术一直被证明是切除conconal碗潜在侵害性病变的最有效方法。手术后采用多种技术来重建conconal碗。目的:探讨所用重建技术的类型和频率以及影响外科医生选择重建的因素。方法:方法:回顾性分析272例伴有conhal Bowl肿瘤的患者。结果:皮厚移植术是首选的重建方法。病变的组织病理学和Mohs术后缺损的大小并未影响技术的选择,除了小于1 cm的病变有利于通过次要目的治愈。结论:肿瘤的大小,类型和侵袭性不影响修复技术的选择。因此,外科医生的偏爱是决定Mohs显微外科手术后重建技术的主要因素。

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