Donigan Jessica M, Millican Eric A
*Both authors are affiliated with the Department of Dermatology, University of Utah, Salt Lake City, Utah.
Both authors are affiliated with the Department of Dermatology, University of Utah, Salt Lake City, Utah.
Dermatol Surg. 2019 Jan;45(1):26-35. doi: 10.1097/DSS.0000000000001611.
The lips are a common location for skin cancer and thus for Mohs micrographic surgery (MMS). There are few studies looking at second intention healing of Mohs defects of the lips, and none have used a scar assessment scale.
To evaluate the acceptability of second intention healing of the vermilion lips following MMS using a patient questionnaire and the Patient and Observer Assessment Scale (POSAS).
Eligible patients were found through chart review. A patient questionnaire and the patient scale of the POSAS were performed over the phone. For patients who were able to come to clinic, the observer scale of the POSAS was performed.
Forty-seven phone interviews and 21 clinic assessments were performed. Overall, patients noted excellent functional outcomes, and good to excellent cosmetic outcomes, and were satisfied with healing time. There was not a significant difference between the patient and observer total scores (p = .63) or overall scores (p = .59).
Second intention healing can have satisfactory functional and cosmetic outcomes and healing times with few complications and should be considered for surgical defects on the vermilion lips as large as 2.8 cm even when there is involvement of the cutaneous lip and muscular layer.
嘴唇是皮肤癌的常见发病部位，因此也是莫氏显微外科手术（MMS）的常见部位。很少有研究关注嘴唇莫氏手术缺损的二期愈合情况，且尚无研究使用瘢痕评估量表。
使用患者问卷和患者及观察者评估量表（POSAS）评估MMS术后唇红缘二期愈合的可接受性。
通过病历审查找出符合条件的患者。通过电话进行患者问卷和POSAS患者量表评估。对于能够前来诊所的患者，进行POSAS观察者量表评估。
进行了47次电话访谈和21次临床评估。总体而言，患者指出功能结局极佳，美容结局良好至极佳，并对愈合时间感到满意。患者和观察者的总分（p = 0.63）或总体评分（p = 0.59）之间无显著差异。
二期愈合可取得令人满意的功能和美容效果，愈合时间短，并发症少，对于唇红缘高达2.8 cm的手术缺损，即使累及皮肤唇和肌肉层，也应考虑采用二期愈合。
