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dc.contributor.authorAmin, K. R.
dc.contributor.authorAsher, C. M.
dc.contributor.authorHamilton, A. E.
dc.contributor.authorMowatt, David J
dc.date.accessioned2020-09-16T11:57:52Z
dc.date.available2020-09-16T11:57:52Z
dc.date.issued2020en
dc.identifier.citationAmin KR, Asher CM, Hamilton AE, Mowatt DJ. Scar orientation: Principles in plastic surgery. J Cutan Aesthet Surg. 2020;13(2):152-3.en
dc.identifier.pmid32792777en
dc.identifier.doi10.4103/jcas.jcas_5_20en
dc.identifier.urihttp://hdl.handle.net/10541/623223
dc.description.abstractFor biopsy proven skin cancers that are deemed to be high risk, a wide local excision (WLE) is recommended to reduce the risk of local recurrence. For this reason, it is pragmatic to account for the likelihood of a WLE at the time of the initial biopsy. We illustrate a staged approach to excision of lesions to facilitate this, bearing in mind the optimal reconstruction is primary closure. In our experience as plastic surgeons, having to perform a locoregional flap or skin graft prevents the opportunity to perform a local anesthetic procedure. This increases the risk of postoperative complications, especially if adjuvant radiotherapy further exposes reconstructed tissues to radiation toxicity. Collectively, this often results in an inferior aesthetic outcome. We value the referrals from allied colleagues and want to share the principles we adhere to when planning an excision biopsy, which aid in the delivery of the optimal reconstruction.en
dc.language.isoenen
dc.relation.urlhttps://dx.doi.org/10.4103/jcas.jcas_5_20en
dc.titleScar orientation: Principles in plastic surgeryen
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic Surgery, Royal Preston Hospital, Preston, UK.en
dc.identifier.journalJournal of Cutaneous and Aesthetic Surgeryen
dc.description.noteen]


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