๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
RECONSTRUCTION
After complete tumor clearance, multiple options exist for management of tissue defects. The management strategy takes into account anatomic location, patient comorbidities, tumor severity, and the aesthetic needs of the patient. With guidance from the Mohs surgeon, patients are able to select the best options for reconstruction.
Surgical defects that heal by second intention may result in excellent cosmetic results especially in concave regions. Second intention healing can also be used for recurrent tumors in which flaps or grafts might hinder surveillance. Patients must be willing to attend to the area over a 2- to 8-week healing period. Typically, wound care regimens involve cleansing the wound daily with a saline solution or soapy water, applying a layer of ointment, and then covering with a non-adherent dressing. Wound care after cutaneous reconstruction is similar to second intention wound care, although limited to 1โ2 weeks. A discussion of cutaneous reconstruction can be found in Chapters 146โ148.