Observation of Dog-Ear Regression by Anatomical Location.
Dermatol Surg
; 43(11): 1367-1370, 2017 Nov.
Article
em En
| MEDLINE
| ID: mdl-28930788
ABSTRACT
BACKGROUND:
When an excision is performed by a method other than elliptical excision, direct primary wound closure can result in standing cones or "dog-ears." In 2008, Lee and colleagues noted that dog-ears of <8 mm in height have a statistically greater tendency to resolve without further surgical correction than larger dog-ears.OBJECTIVE:
To stratify dog-ears by anatomic location and inform on the need for correction at the time of surgery. MATERIALS ANDMETHODS:
After tumor extirpation, patients were counseled that primary closure of the surgical wound would result in dog-ears at the wound apices. Dog-ears were left uncorrected in participating patients. At 6 months, patients were assessed for resolution of the dog-ears and asked to rate the appearance of the scar.RESULTS:
A total of 140 dog-ears were observed in the study period. Anatomical locations included the hand/foot, trunk, limb, and head/neck. Among these dog-ears, 114/140 (81%) showed complete resolution. Patient satisfaction with the scar appearance correlated well with the dog-ear resolution, with most patients rating the appearance of the scar as good to excellent.CONCLUSION:
This study suggests that dog-ears on the hand and dog-ears ≤4 mm on the trunk may be observed without any final cosmetic penalty.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Pele
/
Tratamento
/
Cirurgia_oncologica
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Neoplasias Cutâneas
/
Cirurgia de Mohs
/
Técnicas de Fechamento de Ferimentos
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Dermatol Surg
Assunto da revista:
DERMATOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article