Had MOHs surgery today to remove basal cell inside my ear. 42 yr old white male. Most of the inside skin was scraped out. At a glance it was missing so much the skin it was all white. I was told there was cartilage involvement which was scraped also, but the structure remained intact. I initiated a conversation about a graph for repair. He said it would be best healing on its own. He did punch about 9 holes and said this will help the skin fill in the area. Am considering a plastic surgeon. Thoughts?
November 14, 2012
Answer: Mohs Surgery Repair of Ear
Concave areas tend to heal well by secondary intention healing (i.e. allowing the wound to heal by itself). The conchal bowl, that concave area near the external auditory canal (ear canal), frequently heals well by itself. If the area surrounding the ear canal is involved, a graft might be used to minimize scarring around the canal. Fenestration of the cartilage (punching holes in it) is sometimes used to faciliate healing.
No one can give you an informed opinion over the internet. A specialist should examine the site and discuss what your options are. If you have doubts about the person who performed the Mohs surgery, I would suggest seeking a second opinion. In my opinion, best options would be a Mohs surgeon who has completed a fellowship in Mohs surgery and is a member of the American College of Mohs Surgery (ACMS). You could also see a board-certified plastic surgeon or facial plastic surgeon, just make sure that reconstruction on the ear is something that the particular doctors does on a regular basis in their practice. Good luck.
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November 14, 2012
Answer: Mohs Surgery Repair of Ear
Concave areas tend to heal well by secondary intention healing (i.e. allowing the wound to heal by itself). The conchal bowl, that concave area near the external auditory canal (ear canal), frequently heals well by itself. If the area surrounding the ear canal is involved, a graft might be used to minimize scarring around the canal. Fenestration of the cartilage (punching holes in it) is sometimes used to faciliate healing.
No one can give you an informed opinion over the internet. A specialist should examine the site and discuss what your options are. If you have doubts about the person who performed the Mohs surgery, I would suggest seeking a second opinion. In my opinion, best options would be a Mohs surgeon who has completed a fellowship in Mohs surgery and is a member of the American College of Mohs Surgery (ACMS). You could also see a board-certified plastic surgeon or facial plastic surgeon, just make sure that reconstruction on the ear is something that the particular doctors does on a regular basis in their practice. Good luck.
Helpful 1 person found this helpful
November 14, 2012
Answer: Mohs Reconstruction
Every surgeon has their own techniques. When in doubt, it is best to seek a second opinion. Consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeons (ASPS) to discuss your expectations and concerns.
Helpful
November 14, 2012
Answer: Mohs Reconstruction
Every surgeon has their own techniques. When in doubt, it is best to seek a second opinion. Consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeons (ASPS) to discuss your expectations and concerns.
Helpful