Abstract
Purpose :
This study compares same-day vs next-day eyelid reconstruction following Moh’s Micrographic Surgery (MMS) with attention to postoperative complications. This study aims to investigate whether or not a delay in closure is associated with an increase in postoperative complications.
Methods :
A retrospective chart review was conducted of patients who underwent eyelid reconstruction following MMS during a ten-year period (2008-2018), by a single oculoplastic surgeon. The timing of each patient’s reconstruction along with age, sex, comorbidities, and occurrence of postoperative complications were recorded. The specific location of the defect was recorded as well. The timing of reconstruction was classified as same-day reconstruction or next-day reconstruction. No patients had reconstruction more than 48 hours after tumor excision. The following complications in this analysis, hematoma, wound infection, flap necrosis, dehiscence, and ectropion were examined. Statistical significance was determined by Pearson’s chi-squared analysis.
Results :
A total of 485 procedures were performed on 390 patients. 334 (69%) of those procedures were same-day reconstructions, while 151 (31%) of those procedures were next-day reconstructions. 19 (5.7%) of the 334 same-day reconstructions and 9 (5.9%) of the next-day reconstructions were associated with the specified complications. (p=0.36) A total of 28 (5.8%) procedures were associated with the specified complications. More women (54%) than men (46%) underwent reconstruction. Complication rates for men (6.3%) and women (5.3%), were not statistically significant. (p= 0.22).
Conclusions :
There is no statistically significant difference in the postoperative complication rate when comparing same-day vs next-day eyelid reconstruction following Moh’s micrographic surgery.
This is a 2020 ARVO Annual Meeting abstract.