AI Article Synopsis
- The study explores the use of dehydrated complete human placental membrane (dCHPM) allografts as a repair option for Mohs surgical defects on the nose, highlighting that traditional methods may not always be the best choice.
- Twenty patients who underwent this procedure were assessed for aesthetic and functional outcomes using photography and evaluations by blinded observers.
- Results showed a favorable scar assessment with a mean score of 8.4 for observers and 12.6 for patients, indicating that dCHPM allografts are a viable alternative, though the study was limited by a small sample size and being conducted at a single institution.
Article Abstract
Background: Repair options for Mohs surgical defects include primary closure, flap or graft, or healing by second intention. These options may not be optimal in all cases. A dehydrated complete human placental membrane (dCHPM) allograft may serve as an alternative repair option.
Objective: To assess the aesthetic and functional outcomes of an alternative repair technique for Mohs surgical defects of the nose.
Methods: Twenty patients with Mohs surgical defects of the nose repaired with a dCHPM allograft were retrospectively identified. Photographs were used to demonstrate surgical technique and outcomes. Two blinded observers evaluated final outcomes using the Patient and Observer Scar Assessment Scale.
Results: Observers rated the scar outcome a combined mean score of 8.4 ± 3.2 (scale 5-50). Patients rated their outcomes a mean of 12.6 ± 7.4 (scale 6-60). The mean "Overall Opinion score" was 2.5 ± 1.8 by patients and 1.9 ± 1.3 by observers (scale 1-10).
Limitations: This was a single institution study with a small sample size.
Conclusion: Our study demonstrates that dCHPM allografts are a viable alternative repair option for Mohs surgical defects of the nose.
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| http://dx.doi.org/10.1097/DSS.0000000000003711 | DOI Listing |
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