Our Summary

This research paper discusses a method of treating skin cancers on the ear using a procedure called Mohs micrographic surgery (MMS). This type of surgery is commonly used for non-melanoma skin cancers and is considered the gold standard.

In the study, the researchers used skin grafts from the mastoid area (the bony part behind the ear) to reconstruct the ear after the cancer was removed. They looked at patients who had this procedure done in an outpatient clinic between 2010 and 2021.

They found that, on average, the cancers were about 13.7 mm in size and were removed in roughly 2 rounds of MMS. The skin grafts from the mastoid area worked well, with a success rate of 96%. Only one patient had complications, with a scar that was thicker than usual.

Most patients (87.5%) were very happy with the cosmetic appearance of their ear after the surgery. All of the patients felt that the area where the skin graft was taken from was well concealed and looked excellent.

In conclusion, using skin grafts from the mastoid area is a fast and effective way to reconstruct the ear after skin cancer surgery.

FAQs

  1. What is Mohs micrographic surgery (MMS) and when is it used?
  2. How successful is using skin grafts from the mastoid area for ear reconstruction after skin cancer surgery?
  3. What was the patient satisfaction rate with the cosmetic appearance of their ear after the surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about skin graft surgery is to closely follow post-operative care instructions to ensure proper healing and minimize the risk of complications. This may include keeping the graft site clean and dry, avoiding excessive movement or pressure on the graft area, and taking prescribed medications as directed. Additionally, patients should schedule follow-up appointments with their healthcare provider to monitor the healing process and address any concerns.

Suitable For

Patients with skin cancers on the ear, particularly non-melanoma skin cancers, are typically recommended skin graft surgery. This procedure is also commonly used for patients who have large wounds or burns that need to be covered with healthy skin. Additionally, patients with other types of skin conditions such as severe acne scars or traumatic injuries may also benefit from skin graft surgery to improve the appearance and function of their skin. Overall, skin graft surgery is a versatile procedure that can be used to help a wide range of patients with various skin issues.

Timeline

Before skin graft surgery:

  • Patient is diagnosed with skin cancer on the ear
  • Patient undergoes consultations with dermatologist and/or surgeon to discuss treatment options
  • Patient schedules surgery date and prepares for the procedure
  • Mohs micrographic surgery is performed to remove the cancerous tissue layer by layer
  • Once the cancer is completely removed, the surgeon prepares the area for skin grafting

After skin graft surgery:

  • Skin graft is taken from the mastoid area behind the ear
  • The skin graft is carefully placed and secured onto the ear to reconstruct the area
  • Patient is monitored for any signs of infection or complications
  • The ear undergoes a healing process, with the skin graft integrating into the surrounding tissue
  • Patient returns for follow-up appointments to ensure proper healing and cosmetic results
  • Most patients experience a high level of satisfaction with the cosmetic appearance of their ear after surgery.

What to Ask Your Doctor

Some questions a patient may want to ask their doctor about skin graft surgery for skin cancer on the ear include:

  1. What are the risks and potential complications associated with skin graft surgery for skin cancer on the ear?
  2. How long is the recovery time after skin graft surgery and what can I expect during the healing process?
  3. Will there be any scarring or changes in the appearance of my ear after the surgery?
  4. Are there any alternative treatment options to skin graft surgery for skin cancer on the ear?
  5. How often will I need to follow up with you after the surgery and what signs should I watch for that may indicate a problem with the skin graft?
  6. What are the chances of the skin cancer returning after the surgery and what steps can I take to prevent it from coming back?
  7. Will I need any additional treatments or procedures after the skin graft surgery?
  8. What type of anesthesia will be used during the surgery and what can I expect in terms of pain management?
  9. How experienced are you in performing skin graft surgery for skin cancer on the ear and what is your success rate with this procedure?
  10. Are there any specific instructions I should follow before and after the surgery to ensure the best possible outcome?

Reference

Authors: Berl A, Shir-Az O, Mann D, Weiss E, Bilal BS, Shalom A. Journal: J Cutan Med Surg. 2023 Nov;27(6):589-593. doi: 10.1177/12034754231191495. Epub 2023 Aug 16. PMID: 37584522