Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features

a cross-sectional study.

Murad Alam*, Irene B. Helenowksi, Joel L. Cohen, Ross Levy, Nanette Liégeois, Erick A. Mafong, Maureen A. Mooney, Kishwer S. Nehal, Tri H. Nguyen, Desiree Ratner, Tom Rohrer, Chrysalyne D. Schmults, Stephen Tan, Jaeyoung Yoon, Rohit Kakar, Alfred W. Rademaker, Lucile E. White, Simon Yoo

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

There are few data to indicate whether the type of final wound defect is associated with the type of post-Mohs repair. To determine the methods of reconstruction that Mohs surgeons typically select and, secondarily, to assess the association between the method and the number of stages, tumor type, anatomic location, and patient and surgeon characteristics. Statistical analysis of procedure logs of 20 representative young to mid-career Mohs surgeons. The number of stages associated with various repairs were different (analysis of variance, p < .001.). Linear repairs, associated with the fewest stages (1.5), were used most commonly (43-55% of defects). Primary repairs were used for 20.2% to 35.3% of defects of the nose, eyelids, ears, and lips. Local flaps were performed typically after two stages of Mohs surgery (range 1.98-2.06). Referral for repair and skin grafts were associated with cases with more stages (2.16 and 2.17 stages, respectively). Experienced surgeons were nominally more likely perform flaps than grafts. Regression analyses did not indicate any association between patient sex and closure type (p = .99) or practice location and closure type (p = .99). Most post-Mohs closures are linear repairs, with more bilayered linear repairs more likely at certain anatomic sites and after a larger number of stages.

Original languageEnglish (US)
Pages (from-to)51-55
Number of pages5
JournalUnknown Journal
Volume39
Issue number1 Pt 1
StatePublished - Jan 1 2013

Fingerprint

Mohs Surgery
Surgery
Tumors
Repair
Cross-Sectional Studies
Neoplasms
Flaps
Transplants
Grafts
Eyelids
Defects
Lip
Nose
Ear
Analysis of Variance
Referral and Consultation
Reconstruction (structural)
Regression Analysis
Skin
Analysis of variance (ANOVA)

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Alam, Murad ; Helenowksi, Irene B. ; Cohen, Joel L. ; Levy, Ross ; Liégeois, Nanette ; Mafong, Erick A. ; Mooney, Maureen A. ; Nehal, Kishwer S. ; Nguyen, Tri H. ; Ratner, Desiree ; Rohrer, Tom ; Schmults, Chrysalyne D. ; Tan, Stephen ; Yoon, Jaeyoung ; Kakar, Rohit ; Rademaker, Alfred W. ; White, Lucile E. ; Yoo, Simon. / Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features : a cross-sectional study. In: Unknown Journal. 2013 ; Vol. 39, No. 1 Pt 1. pp. 51-55.
@article{d06f9a504b1947c299edb76acb0b7ad9,
title = "Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features: a cross-sectional study.",
abstract = "There are few data to indicate whether the type of final wound defect is associated with the type of post-Mohs repair. To determine the methods of reconstruction that Mohs surgeons typically select and, secondarily, to assess the association between the method and the number of stages, tumor type, anatomic location, and patient and surgeon characteristics. Statistical analysis of procedure logs of 20 representative young to mid-career Mohs surgeons. The number of stages associated with various repairs were different (analysis of variance, p < .001.). Linear repairs, associated with the fewest stages (1.5), were used most commonly (43-55{\%} of defects). Primary repairs were used for 20.2{\%} to 35.3{\%} of defects of the nose, eyelids, ears, and lips. Local flaps were performed typically after two stages of Mohs surgery (range 1.98-2.06). Referral for repair and skin grafts were associated with cases with more stages (2.16 and 2.17 stages, respectively). Experienced surgeons were nominally more likely perform flaps than grafts. Regression analyses did not indicate any association between patient sex and closure type (p = .99) or practice location and closure type (p = .99). Most post-Mohs closures are linear repairs, with more bilayered linear repairs more likely at certain anatomic sites and after a larger number of stages.",
author = "Murad Alam and Helenowksi, {Irene B.} and Cohen, {Joel L.} and Ross Levy and Nanette Li{\'e}geois and Mafong, {Erick A.} and Mooney, {Maureen A.} and Nehal, {Kishwer S.} and Nguyen, {Tri H.} and Desiree Ratner and Tom Rohrer and Schmults, {Chrysalyne D.} and Stephen Tan and Jaeyoung Yoon and Rohit Kakar and Rademaker, {Alfred W.} and White, {Lucile E.} and Simon Yoo",
year = "2013",
month = "1",
day = "1",
language = "English (US)",
volume = "39",
pages = "51--55",
journal = "Free Radical Biology and Medicine",
issn = "0891-5849",
publisher = "Elsevier Inc.",
number = "1 Pt 1",

}

Alam, M, Helenowksi, IB, Cohen, JL, Levy, R, Liégeois, N, Mafong, EA, Mooney, MA, Nehal, KS, Nguyen, TH, Ratner, D, Rohrer, T, Schmults, CD, Tan, S, Yoon, J, Kakar, R, Rademaker, AW, White, LE & Yoo, S 2013, 'Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features: a cross-sectional study.', Unknown Journal, vol. 39, no. 1 Pt 1, pp. 51-55.

Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features : a cross-sectional study. / Alam, Murad; Helenowksi, Irene B.; Cohen, Joel L.; Levy, Ross; Liégeois, Nanette; Mafong, Erick A.; Mooney, Maureen A.; Nehal, Kishwer S.; Nguyen, Tri H.; Ratner, Desiree; Rohrer, Tom; Schmults, Chrysalyne D.; Tan, Stephen; Yoon, Jaeyoung; Kakar, Rohit; Rademaker, Alfred W.; White, Lucile E.; Yoo, Simon.

In: Unknown Journal, Vol. 39, No. 1 Pt 1, 01.01.2013, p. 51-55.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association between type of reconstruction after Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features

T2 - a cross-sectional study.

AU - Alam, Murad

AU - Helenowksi, Irene B.

AU - Cohen, Joel L.

AU - Levy, Ross

AU - Liégeois, Nanette

AU - Mafong, Erick A.

AU - Mooney, Maureen A.

AU - Nehal, Kishwer S.

AU - Nguyen, Tri H.

AU - Ratner, Desiree

AU - Rohrer, Tom

AU - Schmults, Chrysalyne D.

AU - Tan, Stephen

AU - Yoon, Jaeyoung

AU - Kakar, Rohit

AU - Rademaker, Alfred W.

AU - White, Lucile E.

AU - Yoo, Simon

PY - 2013/1/1

Y1 - 2013/1/1

N2 - There are few data to indicate whether the type of final wound defect is associated with the type of post-Mohs repair. To determine the methods of reconstruction that Mohs surgeons typically select and, secondarily, to assess the association between the method and the number of stages, tumor type, anatomic location, and patient and surgeon characteristics. Statistical analysis of procedure logs of 20 representative young to mid-career Mohs surgeons. The number of stages associated with various repairs were different (analysis of variance, p < .001.). Linear repairs, associated with the fewest stages (1.5), were used most commonly (43-55% of defects). Primary repairs were used for 20.2% to 35.3% of defects of the nose, eyelids, ears, and lips. Local flaps were performed typically after two stages of Mohs surgery (range 1.98-2.06). Referral for repair and skin grafts were associated with cases with more stages (2.16 and 2.17 stages, respectively). Experienced surgeons were nominally more likely perform flaps than grafts. Regression analyses did not indicate any association between patient sex and closure type (p = .99) or practice location and closure type (p = .99). Most post-Mohs closures are linear repairs, with more bilayered linear repairs more likely at certain anatomic sites and after a larger number of stages.

AB - There are few data to indicate whether the type of final wound defect is associated with the type of post-Mohs repair. To determine the methods of reconstruction that Mohs surgeons typically select and, secondarily, to assess the association between the method and the number of stages, tumor type, anatomic location, and patient and surgeon characteristics. Statistical analysis of procedure logs of 20 representative young to mid-career Mohs surgeons. The number of stages associated with various repairs were different (analysis of variance, p < .001.). Linear repairs, associated with the fewest stages (1.5), were used most commonly (43-55% of defects). Primary repairs were used for 20.2% to 35.3% of defects of the nose, eyelids, ears, and lips. Local flaps were performed typically after two stages of Mohs surgery (range 1.98-2.06). Referral for repair and skin grafts were associated with cases with more stages (2.16 and 2.17 stages, respectively). Experienced surgeons were nominally more likely perform flaps than grafts. Regression analyses did not indicate any association between patient sex and closure type (p = .99) or practice location and closure type (p = .99). Most post-Mohs closures are linear repairs, with more bilayered linear repairs more likely at certain anatomic sites and after a larger number of stages.

UR - http://www.scopus.com/inward/record.url?scp=84874504288&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874504288&partnerID=8YFLogxK

M3 - Article

VL - 39

SP - 51

EP - 55

JO - Free Radical Biology and Medicine

JF - Free Radical Biology and Medicine

SN - 0891-5849

IS - 1 Pt 1

ER -