M J Thibault1, R G Bennett. 1. Department of Medicine, University of California, Los Angeles, USA.
Abstract
BACKGROUND: Specific factors affect the outcome of full-thickness skin grafts after Mohs micrographic surgery. No recent clinical studies have systematically investigated the clinical factors that may affect the success of full-thickness skin grafts. OBJECTIVE: Our objective was to analyze patient data to define factors that may influence the success of full-thickness skin grafts. METHODS: We reviewed the clinical course of 117 patients who had full-thickness skin grafts after Mohs micrographic surgery. We analyzed these cases using patient variables, tumor variables, and skin graft variables and then correlated these variables to skin graft success. RESULTS: Delay of skin graft placement (> 1 day) was significantly correlated with subsequent skin graft success (p = 0.015). Skin graft necrosis was more likely to develop in men than in women (p = 0.021). CONCLUSION: A delay of 2 to 8 days between Mohs micrographic surgery and full-thickness skin graft placement resulted in a lower incidence of skin graft necrosis than no delay or a delay of 1 day.
BACKGROUND: Specific factors affect the outcome of full-thickness skin grafts after Mohs micrographic surgery. No recent clinical studies have systematically investigated the clinical factors that may affect the success of full-thickness skin grafts. OBJECTIVE: Our objective was to analyze patient data to define factors that may influence the success of full-thickness skin grafts. METHODS: We reviewed the clinical course of 117 patients who had full-thickness skin grafts after Mohs micrographic surgery. We analyzed these cases using patient variables, tumor variables, and skin graft variables and then correlated these variables to skin graft success. RESULTS: Delay of skin graft placement (> 1 day) was significantly correlated with subsequent skin graft success (p = 0.015). Skin graft necrosis was more likely to develop in men than in women (p = 0.021). CONCLUSION: A delay of 2 to 8 days between Mohs micrographic surgery and full-thickness skin graft placement resulted in a lower incidence of skin graft necrosis than no delay or a delay of 1 day.
Authors: Matthew Q Miller; Abel P David; James E McLean; Stephen S Park; Jared Christophel Journal: JAMA Facial Plast Surg Date: 2018-03-01 Impact factor: 4.611