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Scott Rebich
Scott Rebich, Doctor
Category: Medical
Satisfied Customers: 111
Experience:  Resident physician
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I had MOHs procedure performed on my ear to remove cancer.

Customer Question

I had MOHs procedure performed on my ear to remove cancer. The surgeon attempted to restore my ear by transplanting skin from my ear lobe. I was told it failed and could have been to many different causes. I had no infection during my recovery. Would you have more specific reasons why the graft failed.
JA: Are you keeping a personal medical record while dealing with this?
Customer: No
JA: Anything else in your medical history you think the doctor should know?
Customer: No
Submitted: 14 days ago.
Category: Medical
Expert:  Scott Rebich replied 14 days ago.

Hi there,

Sorry to hear this happened to you.

Skin graft failure can result from insufficient vascularity of the recipient site, hematoma, seroma, infection, excessive tension, or mechanical shearing forces. Proper preparation of the wound bed, meticulous hemostasis, careful inset of the graft, and proper dressing along with immobilization during the healing period can help avoid most of these complications. However, it is some inevitable.

Expert:  Scott Rebich replied 14 days ago.

Comorbidities including diabetes, smoking, protein or vitamin deficiencies can affect vascularity and wound healing. In addition, medications such as steroids, immunosuppressive medications, and anticoagulants can interfere with wound healing.

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