Mask Use During the COVID-19 Pandemic Causing Undesirable Post-Operative Complications

September 2021 | Volume 20 | Issue 9 | Editorials | 1013 | Copyright © September 2021


Published online August 20, 2021

Margit L.W. Juhasz MD,a Christopher Zachary MBBS FRCP,a Robert Kessler MD,b Joel L. Cohen MDa,c

aUniversity of California, Irvine, Department of Dermatology, Irvine, CA
bKessler Plastic Surgery, Newport Beach, CA
cAboutSkin Dermatology and DermSurgery, Greenwood Village, CO

Dermatologic surgeons should be aware that patients might be in danger of compromised wound healing because of masks that are in constant contact with a healing procedural site. Physicians should educate patients regarding the possibility of poor wound healing due to excessive tension or irritation by masks. Further, masks should be changed daily, particularly if obviously soiled. Should poor healing occur, patients should seek immediate medical attention in an effort to decrease adverse aesthetic outcomes including changing to masks that tie around the scalp rather than loop around the ears. Also, injury can be prevented by adhesive tape strips or non-adherent dressings that can reinforce wounds and protect fragile skin. There are several masks designs available on the market with loops placed around the ears or scalp for security. Based on the location of surgery, patients should be counseled to use a mask that does not interfere with the healing of the procedural site.

DISCLOSURES

The authors received no funding for this research. The authors have no relevant conflicts of interest to disclose.

REFERENCES

1. Chaiyabutr C, Sukakul T, Pruksaeakanan C, Thumrongtharadol J, Boonchai W. Adverse skin reactions following different types of mask usage during the COVID-19 pandemic. J Eur Acad Dermatol Venereol (2020) doi:10.1111/ jdv.17039.
2. Suzuki JB, Resnik RR. Wound Dehiscence. in Misch’s Avoiding Complications in Oral Implantology 402–439 (Elsevier, 2018). doi:10.1016/B978-0-323- 37580-1.00011-1.

AUTHOR CORRESPONDENCE

Joel Cohen MD jcohenderm@yahoo.com