Retrospective Analysis of Complication Rates Associated With Auricular Reconstruction After Skin Cancer Surgery

Author:

Crișan Diana1ORCID,Colosi Horațiu Alexandru2,Manea Avram3,Kastler Sabine1,Lipke Anna1,Crișan Maria4,Scharffetter-Kochanek Karin1,Schneider Lars Alexander5

Affiliation:

1. Department of Dermatology and Allergic Diseases, University Clinic Ulm, Germany

2. Department of Medical Informatics and Biostatistics, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

3. Department of Face Mouth and Jaw Surgery, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

4. Department of Dermatology, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

5. Department of Dermatology and Dermatosurgery, Helios Hospital, Rottweil, Germany

Abstract

BackgroundThere is limited data regarding postoperative complications after microtia surgery or tympanoplasty; however, complication rates after pinna reconstruction following tumor resection and comorbidities associated with suboptimal outcomes have not been investigated so far.ObjectiveTo examine the incidence of postoperative complications after auricular reconstruction surgery following tumor resection and determine the association between postoperative complications and defect size, patients’ comorbidities, and reconstruction type.Methods and MaterialsIn a retrospective case series ( n = 146, January 2014 to October 2018), we examined the surgical outcome and amount of postoperative complications following auricular surgery as well as the association with different comorbidities. SPSS 16.0 was used for statistical analyses.ResultsThe following early postoperative complications were identified: pain (29.5%), hematoma (4.1%), flap congestion (4.8%), infection (3.4%), and flap/graft necrosis (2.7%). Late complications including cartilage step-offs, helical rim sulcus alteration, granulomas, or ear deformities occurred only in 3.6% of subjects. Reconstructions of large defects (>1 cm2) were associated with a higher incidence of early postoperative complications compared to small defects (<1 cm2) ( P < .001). Neither the presence of smoking or diabetes nor immunosuppression was significantly linked to an increased incidence of early complications. Immunosuppression, however, was associated with a higher incidence of postoperative infection ( P < .001)ConclusionThe incidence of early and late postoperative complications after skin tumor resection and external ear reconstruction is low. The occurrence of postoperative infection was not linked with smoking or the presence of diabetes, but strongly associated with a state of immunosuppression, which is why a perioperative antibiotic prophylaxis in immune-compromised patients may be considered.

Publisher

SAGE Publications

Subject

Dermatology,Surgery

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