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Patient-reported outcome measurements in facial skin surgery and a comparison between Mohs micrographic surgery and conventional excisions

  • 0Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.
Journal of the European Academy of Dermatology and Venereology : Jeadv +

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April 22, 2024

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April 22, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Facial skin cancer surgery did not negatively impact quality of life, with improvements in satisfaction and psychosocial distress over one year. Surgical technique, Mohs micrographic surgery (MMS) or conventional excision (CE), did not alter outcomes.

Area Of Science

  • Dermatology
  • Plastic Surgery
  • Psychology

Background

  • Understanding the psychosocial effects of facial skin cancer surgery is crucial for enhancing patient counseling.
  • Facial disfigurement from skin cancer can significantly impact a patient's mental well-being and self-perception.

Purpose Of The Study

  • To evaluate the psychological impact of facial skin cancer surgery on patients over a one-year period.
  • To compare the outcomes of Mohs micrographic surgery (MMS) versus conventional excision (CE) on patient psychosocial parameters.

Main Methods

  • An observational survey study involving 228 patients undergoing facial skin surgery (MMS or CE).
  • Surveys were administered preoperatively and at one week, three months, and one year post-surgery.
  • Key metrics included quality of life, perceived stigmatization, body image, satisfaction with facial appearance, and psychosocial distress.

Main Results

  • Patient quality of life scores remained stable throughout the year post-surgery.
  • Significant changes were observed in perceived stigmatization, body image concerns, satisfaction with facial appearance, and psychosocial distress over time.
  • No significant differences in outcome scores were found between MMS and CE after one year.

Conclusions

  • Facial skin cancer surgery patients reported low levels of stigmatization and body image concerns.
  • Patient quality of life was not adversely affected, with notable improvements in facial appearance satisfaction and psychosocial well-being.
  • The type of surgical technique (MMS or CE) did not influence patient outcomes, suggesting a focus on patient counseling for managing expectations.