Principles of Reconstruction After Mohs Surgery

Principles of Reconstruction After Mohs Surgery Purpose of Review Reconstruction of cutaneous defects is a key component following completion of extirpative surgery, with a primary aim of restoring form and function to sensitive regions of the face and scalp. We review flap physiology, defect analysis, and reconstructive options in the reconstructive ladder, and describe key principles in unit reconstruction. Recent Findings An overview of time-honored principles and techniques including healing by second intention, skin grafting, and local flaps is described. More contemporary techniques such as the use of perichondrium-cutaneous composite grafts, and multi- layered reconstruction of complex nasal defects including the use of forehead flaps are succinctly discussed. Summary This concise review hopes to highlight key nuances in defect analysis, decision-making processes in choice of recon- struction, and considerations when performing reconstruction on various aesthetic units of the face and scalp. . . . . . Keywords Cutaneous malignancy Defect analysis Face Scalp Flaps Grafts Introduction Flap Physiology and Biomechanics of Skin Flaps Reconstruction after Mohs surgery is a challenging pro- cess that aims to restore form and function to a patient. A brief overview of the physiology and biomechanics of Disfiguring cutaneous defects offers to the reconstructive skin flaps allows us to understand the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Otorhinolaryngology Reports Springer Journals

Principles of Reconstruction After Mohs Surgery

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Otorhinolaryngology
eISSN
2167-583X
D.O.I.
10.1007/s40136-018-0199-z
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Reconstruction of cutaneous defects is a key component following completion of extirpative surgery, with a primary aim of restoring form and function to sensitive regions of the face and scalp. We review flap physiology, defect analysis, and reconstructive options in the reconstructive ladder, and describe key principles in unit reconstruction. Recent Findings An overview of time-honored principles and techniques including healing by second intention, skin grafting, and local flaps is described. More contemporary techniques such as the use of perichondrium-cutaneous composite grafts, and multi- layered reconstruction of complex nasal defects including the use of forehead flaps are succinctly discussed. Summary This concise review hopes to highlight key nuances in defect analysis, decision-making processes in choice of recon- struction, and considerations when performing reconstruction on various aesthetic units of the face and scalp. . . . . . Keywords Cutaneous malignancy Defect analysis Face Scalp Flaps Grafts Introduction Flap Physiology and Biomechanics of Skin Flaps Reconstruction after Mohs surgery is a challenging pro- cess that aims to restore form and function to a patient. A brief overview of the physiology and biomechanics of Disfiguring cutaneous defects offers to the reconstructive skin flaps allows us to understand the

Journal

Current Otorhinolaryngology ReportsSpringer Journals

Published: May 10, 2018

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