To examine outcomes of post-Mohs reconstruction for periocular cutaneous malignancies and highlight reconstructive surgery challenges, addressing a gap in peer-reviewed literature.
Key Findings:
194 patients included, mean age 67.7 years; most common malignancy was basal cell carcinoma (70.6%).
Lower lid was the most common location (56.7%).
Modified Hughes tarsoconjunctival flap was the most used reconstruction type (24.7%).
No intraoperative complications; post-operative complications included healing issues (6.7%), ectropion (6.2%), eye irritation (23.2%), and pain (20.1%).
93.3% of patients had full eyelid function; 94.8% reported acceptable cosmetic appearance.
Interpretation:
The study found significant associations between health history, malignancy features, and reconstruction outcomes, particularly regarding defect size and reconstruction techniques, suggesting tailored surgical approaches may enhance patient outcomes.
Limitations:
Retrospective design may introduce bias, including selection bias.
Limited generalizability due to single-center study.
Conclusion:
Post-Mohs reconstruction outcomes are influenced by various factors, including defect size and location, emphasizing the need for tailored surgical approaches to improve patient outcomes.
