Berl Ariel, Shir-Az Ofir, Mann Din, Weiss Eitam, Bilal Biader Samih, Shalom Avshalom
Department of Plastic Surgery, Meir Medical Center, Kfar Saba, Israel, affiliated with the Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Cutan Med Surg. 2023 Nov;27(6):589-593. doi: 10.1177/12034754231191495. Epub 2023 Aug 16.
Mohs micrographic surgery has been considered the gold standard for treating nonmelanoma skin cancers. Approximately 8% to 10% of skin cancers requiring Mohs surgery occur on the auricle. Skin grafts can be used to achieve optimal functional and cosmetic results.
To describe a skin graft technique using the mastoid area as a donor site for auricular reconstruction following Mohs micrographic surgery, to achieve optimal esthetic results in functionally important areas.
This retrospective study assessed the outcomes of patients who underwent MMS in an out-patient Mohs surgery clinic from 2010 to 2021. All patients had MMS of the auricle with reconstruction using a split thickness skin graft harvested from the mastoid area.
A total of 154 patients were included. The average lesion diameter was 13.7 mm (range 5-30 mm), excised in an average of 1.9 rounds of MMS. Skin graft success rate was 96%. Complications included one patient with a hypertrophic scar. The cosmetic appearance of the recipient site was rated as excellent by 87.5% of patients. All patients rated the cosmetic appearance of the donor area as excellent and well-concealed.
Split thickness skin grafts harvested from the mastoid area are a quick and efficient reconstruction method for post-Mohs auricular defects.
莫氏显微外科手术被认为是治疗非黑色素瘤皮肤癌的金标准。约8%至10%需要进行莫氏手术的皮肤癌发生于耳廓。皮肤移植可用于实现最佳的功能和美容效果。
描述一种使用乳突区作为供区进行莫氏显微外科手术后耳廓重建的皮肤移植技术，以在功能重要区域实现最佳美学效果。
这项回顾性研究评估了2010年至2021年在门诊莫氏手术诊所接受莫氏显微外科手术的患者的治疗结果。所有患者均接受了耳廓莫氏显微外科手术，并使用从乳突区采集的中厚皮片进行重建。
共纳入154例患者。病变平均直径为13.7毫米（范围5 - 30毫米），平均进行了1.9轮莫氏显微外科手术切除。皮肤移植成功率为96%。并发症包括1例患者出现肥厚性瘢痕。87.5%的患者将受区的美容外观评为优秀。所有患者将供区的美容外观评为优秀且隐蔽性好。
从乳突区采集的中厚皮片是莫氏手术后耳廓缺损快速有效的重建方法。
