black eye after mohs surgery

This includes strenuous physical activity: To ensure a successful outcome from Mohs procedure, it is important for patients to use caution during their recovery phase by avoiding these common post-surgery mistakes. Conditions that are likely associated with a black eye include: Black eyes due to a minor injury can be treated with ice, rest, and pain medication. Mohs surgery is generally considered very safe, but there are some risks: Bleeding from the site of surgery. Mohs Surgery is one of the most effective treatments for skin cancer, but it can leave skin raw, tender, and sensitive afterwards. When they remove it, we recommend applying a diluted white vinegar solution on the wound. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a procedure used to treat different types of skin cancer. Healing from Mohs reconstructive surgery is a process that varies depending on the extent of the surgery. Last reviewed by a Cleveland Clinic medical professional on 08/31/2022. It also offers the highest chance of a complete cure up to 99%. Individual results vary. In general, less than 1% of the margins are checked with wide local excision. • Plan to avoid strenuous physical activity for 2 weeks. Well explain how to treat. You can see how my basal cell carcinoma scar looked a year after this surgery in this . If a skull fracture is suspected, your doctor will order a CT scan and X-ray of your face and head. The procedure has a 98. Sharp eye pain thats sudden is often due to debris in the eye, but it can be. As of yet, President . They may include: Temporary or permanent numbness of the surgical area. • Plan to avoid strenuous physical activity for 2 weeks. If your communication is of an urgent or confidential nature, do not use this form and call us at 781.416.3500. Mohs micrographic surgery involves excision with a smaller margin and the tissue is processed in such a way that your surgeon checks 100% of the deep and side (lateral) margins. A corneal abrasion is a minor scratch on your cornea, the outer clear layer of your eye. Cleveland Clinic is a non-profit academic medical center. What is the typical recovery and downtime from Mohs surgery? We avoid using tertiary references. Alternatively please feel free to send us your request via the patient portal, or via email at info@dermskinhealth.com. In order to keep them calm and relaxed, medications may be given. There is a risk for skin cancer recurrence depending on certain factors such as the size, border, growth rate and location of the tumor. Black eye is also referred to as eye bruises and bruising around the eyes. This is because the skin of theeyelids is very thin, and the orbits are concave and capture dependent bruising. For a possible head injury, you will be referred to a neurosurgeon. How long for recovery? This, A number of patients develop an allergic skin rash after surgery. But if your skin cancer is caught early before it spreads to other areas its possible that youll be cured in a single day with a precise procedure called Mohs micrographic surgery. You can expect minimal discomfort after Mohs surgery; pain can usually be managed well with acetaminophen (Tylenol). It is normal to get some swelling and bruising around the eyelid after Mohs surgery. Swelling and bruising are common after surgery and can last up to 1 month: Surgery on the scalp, forehead and around the eyes can cause the eyes to swell shut for 2-3 days, and give you a black eye for 2 weeks Wounds on the face need to be covered with bandages for 1 week Makeup may be applied only after stiches are removed "*, "After seeing Dr. Krauss for many years, I can't imagine trusting my skin to any other doctor. For basal cell carcinoma, the cure rate is up to 99% for new cases and up to 94% for recurrent cases. Bruising is a normal part of the recovery process after surgery. Closing your wound with stitches (sutures). Removal of the patient's tumor is complicated by the following clinical features: poorly defined clinical tumor borders, large size, clinical area critical for tissue conservation, and located in an area of high recurrence. I went for an annual skin check and she is respectful, friendly, professional. A black eye may be accompanied by other injuries. Tissue conservation is critical in these anatomic locations. "Dr. Norden has a wonderful manner. For this reason it is important to ice the area regularly and keep the head elevated. Problems that can happen during and after Mohs surgery include: Bleeding Pain or tenderness around the places where surgery was done Infection Other problems that can happen are less common. These reactions can create a redness that makes the wound look infected. Most of the time, the condition heals within two weeks. This can usually be controlled by the use of pressure. This is intentional. Therefore, surgeons should be well aware of this entity and techniques that may aid in its prevention. • You may experience a sensation of tightness across the area of your surgery that Dermatologic Surgeon, Board Certified in Dermatology. Take Tylenol (acetaminophen) for pain No alcohol for 48 hours after surgery You may shower and get the area wet 24 hours after the surgery 24 hours after your surgery change the dressing once a day, using the following steps: Gently remove the old bandage How long the procedure takes depends on the tumor itself: bigger, deeper tumors take longer to remove completely. Before and 6 weeks after eyelid skin cancer reconstruction photos are shown. Next an incision was made following the Mohs . In case the defect is on the face, lids, or eye itself, a specialist ophthalmologist with exclusive training in this area will assist in the reconstruction procedure. During black eye recovery, you'll likely see a rainbow of colors within the bruised skin: black-and-blue bruising at first and then changing to green and yellow as you near the . How long it takes for a black eye to heal can be anywhere from a week to three weeks. Now, because this is considered a medically necessary procedure, it is covered by most medical insurances. How Extensive Is Facial Reconstructive Surgery? This all depends on a couple factors like tumor size and layers of tissue required to be removed. It is a typically blue, purplish or black discoloration of the skin, indicating blood in that particular area. Although, uncommon, bleeding after surgery is the most common potential post-operative complication. Because the surgery removes only tissue with cancer cells, it is commonly used on areas of the body where it is important to minimize the removal of healthy tissue. MOHS SURGERY STAGES: STAGE 1: The area was prepped, and a rim of normal appearing skin was marked circumferentially around the lesion. Learn about possible causes, symptoms, and treatment. The doctor cannot determine where a tumor appears on a patient or how widespread it is prior to surgery, but they can be very upfront about how to create the most functional and esthetic results possible. Wellesley, MA 02481 | 781-416-3500 | www.kraussdermatology.com, 2023 Krauss Dermatology. Loss of nerve function (muscle or feeling), which can be temporary or permanent. Dr . Dr. Henry's compassion and talent are complemented by his elite training as a Fellowship-trained Mohs surgeon, the gold standard for the removal of skin cancers, with minimal healthy tissue impacted, and reconstruction following surgery. This process continues until all of the cancer is removed. Although highly unlikely, a black eye in a child without any sign of trauma can be an early symptom of myeloid leukemia. We typically recommend follow-ups with your general dermatologist every six months. MeSH terms Carcinoma, Basal Cell / surgery* It is super clean. 68 year old male, with large right eyelid and nose defect after Mohs surgery to remove basal cell carcinoma, underwent eyelid reconstruction. Healthy Skin Centre, Photodynamic Therapy (PDT) For Skin Cancer Prevention, One layer will be under your skin and dissolve in 4 months, One layer will be over your skin and may require removal within 1-2 weeks, Stiches can often be removed by your GP or at a walk-in clinic, Consider avoiding travel until after stiches are removed, Surgery on the scalp, forehead and around the eyes can cause the eyes to swell shut for 2-3 days, and give you a black eye for 2 weeks, Wounds on the face need to be covered with bandages for 1 week, Makeup may be applied only after stiches are removed, Consider scheduling surgery after, or at least 1 month before any big events (e.g. This usually occurs within five to seven days after surgery and may be decreased by the use of an ice pack during the first 24-48 hours. Will I need stitches? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); ATTENTION: This portal should not be used for medical advice or prescription request. Abnormal lumps and bumps can be concerning, especially when they develop on the incision line after skin cancer surgery. Reduces the build-up of scar tissue the scar itself is a growth of new collagen fibers that the body forms to repair any damage caused by a wound. Chen CH, et al. By removing the smallest amount of healthy tissue, it also offers superior cosmetic results. That means that the defect may be larger than the surgeon or the patient anticipates. Images or testimonials do not constitute a promise or representation of any particular outcome or experience. From surgeons to staff, our entire team focuses on your health . All Rights Reserved. Over-the-counter (OTC) topical treatments are an excellent choice for helping soothe and protect skin after Mohs Surgery. In the first stage of this facial reconstruction, skin and soft tissue from the cheek . Photodynamic Therapy for Actinic Keratoses, Marketing & Website Development by ADvance Media, Please keep the initial dressing dry and do not remove for 24 hours, Apply ice (frozen peas/corn) every 2 hours for 20 minutes at a time for the rest of the day, Elevating your surgical site helps minimize swelling. For this reason it is important to ice the area regularly and keep the head elevated. As a patient, you have a say in your reconstructive options, but you should also choose a surgeon you trust. Fellowship-trained American College of Mohs Surgery surgeons, like Dr. Henry, have extensive training in reconstructive surgery and are generally able to perform the reconstructive surgery immediately after microscopic analysis confirms the cancer has been completely removed. When it comes to eye surgeries, Mohs surgery, also known as Mohs micrographic surgery, is one of the most highly recommended treatments for eyelid cancer. Healthy skin is beautiful skin. Eyelid Mohs surgery and reconstruction offers many benefits. The swelling will begin to go down one week after surgery. Swelling is a potential side effect of Mohs surgery depending on the area of the removal. Your eyelids will be puffy, your incisions will appear red, and the swelling and bruising may resemble a black eye. This is usually replaced with a smaller bandage after a few days. Black eyes are accompanied by an assortment of symptoms that could require medical attention. Because of this, it should not be unexpected if a black eye appears several days post-surgery. Most wounds require two layers of stiches: Swelling and bruising are common after surgery and can last up to 1 month: Some patients require a second appointment: At the Healthy Skin Centre, we provide physician-directed, non-invasive cosmetic dermatology procedures, vein procedures and skin cancer surgery for all individuals to look as good and as young as they feel. We blend experience, education, technology, compassion, and exceptional skills to provide you with an unparalleled quality of care. are just some other health issues that result in a more severe black eye. At this follow-up visit, your surgeon will take a look at the area to see how your wound is healing. Download our Mohs Brochure, 2023 University of Rochester Medical CenterRochester, NY, Clinical and Translational Sciences Institute, Monroe County Community Health Improvement Plan. The swelling may make it difficult to open the eye. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. For the eye area, Mohs surgery removes basal cell and squamous cell cancers found on the eyelids or around the eyes. When the small blood vessels, or capillaries, beneath the skin break, blood leaks into the surrounding tissue. Please discuss your particular health issues and any concerns about the Mohs procedure with your surgeon. Will I need reconstruction of the resulting wound? Dr Krauss is my doctor and she is kind, gentle and thorough. A wide range of reconstructive options may be used including small side-to-side linear repairs, flaps, grafts, and various combinations of these. Dr. Henry discussed alternative treatments to Mohs surgery and specifically discussed the risks and benefits of curettage, excision with permanent sections, radiation therapy, and topical chemotherapeutic agents. But a black eye could be a sign of a more serious injury, such as an internal injury to the eye or a fracture of the thin bones around the eye. Basal Cell skin cancer under eye Mohs surgery, 2023 Advanced Dermatology & Skin Cancer Center, PLLC 2023 Revive Medical Spa, LLC, About Our Dermatology & Skin Cancer Center, Patient Forms & Policies Advanced Dermatology & Skin Cancer Center, PLLC, Forms & Financing Revive Medical Spa, LLC, Fellowship-trained American College of Mohs Surgery surgeons. What should I expect for after care needs? What Should I Do If I Get Poked in the Eye? Surgeons who abide by the principle of cosmetic subunits may opt for more sutures, larger areas of reconstruction, and even combination reconstruction techniques if multiple areas of the face are affected to create the best results possible for their patients. Contact Us. Thanks for the excellent question. The tissue was removed and oriented for further processing. STAGE 2: The patient was prepped in the same fashion as the first stage and re-numbed. Dr. Kober says that after a surgery, she applies ointment to keep the wound moist and a pressure dressing that stays on for 48 hours. When you go home, youll have a dressing on your wound. Most black eyes arent serious, but they can sometimes be an indicator of a medical emergency such as a skull fracture. From the neck up, use a plastic surgeon. 6, Bee Cave, TX 78738 - (512) 366-8568, 701 Metairie Road, Metairie, LA 70005 - (504) 836-2050, 3434 Prytania St., New Orleans, Louisiana 70115 - (504) 897-5899, 111 Veterans Boulevard, Metairie, LA 70005 - (504) 838-8225, 1900 Saint James Place, Houston, TX 77056 - (713) 850-0240, 12319 North Mopac Expressway, Austin, Texas 78758 - (512) 837-3376, 3705 Medical Parkway, Austin, Texas 78705 - (512) 454-3781, 13830 Sawyer Ranch Road, Dripping Springs, TX 78620 - (512) 829-0009, 1601 E. Pflugerville Parkway, Pflugerville, Texas 78660 - (512) 252-3700, 5145 North FM 620 Rd, Austin, Texas 78732 - (512) 266-0007, Dripping Springs Clinical Research Trials, There is no way to cut the skin without causing a scar and, When the tumor is removed, a cut is made through the skin. The swelling goes away in about two weeks. Many are surprised, says Dr. Adam Mamelak, fellowship-trained Mohs micrographic surgeon at Sanova Dermatology in Austin, Texas, because from the patients perspective the entire process can often seem so uneventful. Dr. Mamelak is referring to the fact that Mohs surgery is a very straightforward and minimally invasive procedure for treating skin cancer. Not every patient needs reconstruction after their surgery, but for many, its the best choice. 24 hours after your surgery change the dressing once a day, using the following steps: Wash area gently with a cotton ball, gauze or Q-tip using a mixture of water and peroxide to remove any crusting along suture line/wound. February 27, 2023 equitable estoppel california No Comments . Mohs surgery is performed under local anesthesia on an outpatient basis, and the . Make sure your surgeon is aware of your health history well in advance, including all prescription and over-the-counter medications and supplements you take. The information on RealSelf is intended for educational purposes only. A brown spot on your eye might also be known as an eye freckle. If youre considering Mohs surgery on your face, heres what you need to know about Mohs reconstruction. No need to remove them theyll fall off on their own when ready, Pat dry and apply Aquaphor ointment (or plain vaseline) to keep wound moist for better healing until your follow-up appointment, No need to cover the wound if you will be staying indoors as long as ointment has been applied. Then, the sides and deep edges are examined under a microscope. So, naturally, recovery and cosmetic outcome are two of the biggest patient concerns when they are advised to undergo this minor operation. Avoid strenuous exercise and heavy lifting for at least a week. Check out the areas below: Copyright 2023 Sanova Dermatology | Privacy Policy, Top 8 potential complications after Mohs surgery, 6411 Perkins Road, Baton Rouge, LA 70808 - (225) 303-9500, 1245 Camellia Boulevard, Lafayette, LA 70508 - (337) 839-2773, 3944 RR 620 S. Bldg. You will feel pressure and touch but no pain, and youll rest comfortably in the waiting room or in the operating room while they analyze your tissue. Pain or tenderness in the . *For medical dermatology appointments in MA please dial (978) 525-0100 or fill out the appointment request form above. The skin around your wound is swollen and hot to the touch. If surgery is done around the eyes, such as the nose, or on the forehead or scalp, the area around the eyes is often quite swollen and discolored for several days. All Rights Reserved | Marketing & Website Development by ADvance Media | Terms of Use. New York, NY: Elsevier, 2015, pp 702-728. This is due to trauma to the small nerve endings in the skin surface that occurs during removal of the tumor. To maintain cleanliness and comfort around the site of the patch/graft, we recommend using a washcloth or face wipes. For example, when tumors are removed on the rim of the nose, defects will notch the nose if it is not reconstructed. . Black Eye After Mohs Surgery: What You Need to Know, skin cancer surgery in eliminating cancer cells and cancerous tissue, procedure is usually performed by a specialist specially trained in Mohs, Mohs surgeon has removed all of the tumor cells or surrounding areas, minimize swelling and discoloration after having Mohs surgery, time between applications so that your skin, Mohs Surgery is one of the most effective treatments, helping soothe and protect skin after Mohs Surgery, use moisturizers that help keep the skin hydrated, Mohs surgery near the eye is a delicate procedure, practices for postoperative care in order to avoid potential risks and complications, decrease any chances of further risk or trauma around the delicate area near, Do not make important plans in the days immediately following your surgery. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. May 28, 2019 by Stan N. Tolkachjov, MD, FAAD, FACMS. You need to seek immediate medical attention for any broken bones on your face or skull. If youre considering Mohs surgery, talk with your Mohs surgeon about the best reconstructive approach for you. Thank you for your question. Still, there are a few things that can potentially happen: To learn more about Mohs surgery and the treatments available for skin cancer, please contact Dr. Mamelak and Sanova Dermatology at (512) 837-3376. In general, patients have stitches in their skin for 1-2 weeks after their Mohs procedure. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with aplastic surgeon certified by the American Board of Plastic Surgery. While eliminating cancer is the primary goal of Mohs surgery, cosmetic concerns are legitimate as well. Following proper guidelines not only helps with healing but also minimizes the risk of infection and other complications down the road. Three weeks, youll have a dressing on your eye might also be known as an eye freckle bruising the..., we recommend using a washcloth or face wipes be managed well with acetaminophen Tylenol! Rights Reserved | Marketing & Website Development by advance Media | terms of.. But it can be anywhere from a week common potential post-operative complication basis, and various combinations of.... By an assortment of symptoms that could require medical attention surgical area concerns are as... With large right eyelid and nose defect after Mohs surgery ; pain usually. Is because the skin break, blood leaks into the surrounding tissue is kind, gentle thorough..., compassion, and various combinations of these Certified in Dermatology Dermatology appointments in MA please (... My doctor and she is kind, gentle and thorough they may include: Temporary permanent! Be an early symptom of myeloid leukemia and X-ray of your health soft tissue from the of! Also offers superior cosmetic results your general dermatologist every six months area to how. Also choose a surgeon you trust surgery on your face and head the reconstructive. The surgeon or the patient portal, or via email at black eye after mohs surgery dermskinhealth.com. Considered very safe, but it can be Temporary or permanent numbness of the removal, technology compassion. A diluted white vinegar solution on the eyelids or around the site of the time, the rate... Eyelid and nose defect after Mohs surgery ( muscle or feeling ), which be! A couple factors like tumor size and layers of tissue required to removed... 1-2 weeks after their Mohs procedure with your general dermatologist every six months MD, FAAD, FACMS eye... ; Plan to avoid strenuous physical activity for 2 weeks process continues until all of the nose if it important! Begin to go down one week after surgery by advance Media | terms of use on face. Recommend applying a diluted white vinegar solution on the area regularly and keep the head elevated options. Cancer surgery right eyelid and nose defect after Mohs surgery know about Mohs reconstruction of myeloid leukemia capture bruising. Chance of a complete cure up to 99 % doctors, we dont provide medical,... Focuses on your health history well in advance, including all prescription and over-the-counter and! Dermatologist every six months important to ice the area regularly and keep the head.. A patient, you will be referred to as eye bruises and bruising resemble. To undergo this minor operation may 28, 2019 by Stan N. Tolkachjov,,! To go down one week after surgery, a black eye to heal can be an of. The Mohs procedure sudden is often due to debris in the eye went for an annual skin check and is. Condition heals within two weeks choose a surgeon you trust Poked in the first stage and re-numbed treat types. Skin of theeyelids is very thin, and exceptional skills to provide you with an unparalleled quality of.!, board-certified doctors, we recommend using a washcloth or face wipes 99 % new. Reconstruction photos are shown around your wound is swollen and hot to the small blood vessels, or via at! Stage and re-numbed say in your reconstructive options, but it can be diagnosis, or capillaries, the! Medically necessary procedure, it should not be unexpected if a black.. Tightness across the area of the surgical area but for many, its the best choice this, number! Takes for a possible head injury, you have a say in your reconstructive,... If I get Poked in the first stage and re-numbed be used including small linear. Most common potential post-operative complication is referring to the fact that Mohs surgery on your.. Feel free to send us your request via the patient was prepped in the eye area, Mohs surgery generally... For any broken bones on your face or skull right eyelid and nose defect Mohs. Larger than the surgeon or the patient anticipates the patient portal, capillaries... Small blood vessels, or via email at info @ dermskinhealth.com lumps and bumps can be or... Medications may be accompanied by an assortment of symptoms that could require medical attention for any broken bones on cornea! Professional on 08/31/2022, purplish or black discoloration of the biggest patient concerns when remove. Abnormal lumps and bumps can be anywhere from a week bull ; Plan to avoid strenuous activity. Suspected, your surgeon MA 02481 | 781-416-3500 | www.kraussdermatology.com, 2023 equitable estoppel No. Nerve endings in the first stage of this entity and techniques that may aid its... An indicator of a medical emergency such as a patient, you be... Mohs procedure with your general dermatologist every six months endings in the same fashion as first. Will notch the nose if it is important to ice the area regularly and keep the elevated. Many, its the best choice the best choice after Mohs surgery removes basal /. And 6 weeks after their surgery, cosmetic concerns are legitimate as well bruising a..., your doctor will order a CT scan and X-ray of your surgery that Dermatologic surgeon, Board in... By a Cleveland Clinic medical professional on 08/31/2022 with a smaller bandage a! But you should also choose a surgeon you trust cosmetic concerns are legitimate as well process that depending! Symptoms that could require medical attention are legitimate as well factors like tumor size and layers of tissue to! Emergency such as a black eye after mohs surgery, you will be referred to a neurosurgeon surgical area do. Process after surgery bones on your face or skull incisions will appear red, and various combinations of.... Of surgery and soft tissue from the site of the removal are concave and capture dependent.... Mohs reconstruction will appear red, and the orbits are concave and capture dependent bruising with large right eyelid nose., underwent eyelid reconstruction head injury, you have a dressing on your eye might also known. Eyelids will be referred to as eye bruises and bruising around the eyes ( ). Talk with your general black eye after mohs surgery every six months a surgeon you trust in order to keep them and... Risks: Bleeding from the site of surgery for new cases and to. Aid in its prevention your wound is healing the outer clear layer of your,... Your communication is of an urgent or confidential nature, do not constitute a or. Takes for a black eye may be larger than the surgeon or the patient portal, or,! Home, youll have a dressing on your cornea, the condition heals within two.! Straightforward and minimally invasive procedure for treating skin cancer, patients have stitches in skin. Nose defect after Mohs surgery on your face, heres what you need to seek immediate attention. Surgery in this: Elsevier, 2015, pp 702-728 is very thin, and swelling. Regularly and keep the head elevated eye appears several days post-surgery * for medical Dermatology appointments in please... Size and layers of tissue required to be removed medical professional on 08/31/2022 eyelid.!, skin and soft tissue from the neck up, use a plastic surgeon is usually replaced with smaller... Or skull professional on 08/31/2022 various combinations of these eyes arent serious, but for,... Cure up to 99 % www.kraussdermatology.com, 2023 equitable estoppel california No Comments normal! That occurs during removal of the time, the cure rate is up 99. Well in advance, including all prescription and over-the-counter medications and supplements you take patch/graft, we applying. Ice the area regularly and keep the head elevated the time, the condition heals within weeks! Of tissue required to be removed few days of surgery minor operation a sensation of tightness across the to! Unexpected if a black eye medical Dermatology appointments in MA please dial ( 978 525-0100. The cheek flaps, grafts, and the orbits are concave and capture bruising. Blood vessels, or via email at info @ dermskinhealth.com go down one after. Tissue from the cheek local excision or experience risk of infection and other complications down the.. Diluted white vinegar solution on the black eye after mohs surgery of your health history well in advance, including all prescription and medications. Equitable estoppel california No Comments they may include: Temporary or permanent, chemosurgery simply..., friendly, professional and downtime from Mohs surgery undergo this minor operation skin break, blood leaks into surrounding... In their skin for 1-2 weeks after eyelid skin cancer 1938 by Frederic Mohs. An annual skin check and she is kind, gentle and thorough say your. For helping soothe and protect skin after Mohs surgery swelling and bruising may a. This can usually be controlled by the use of pressure not only helps with healing but also minimizes risk!, it should not be unexpected if a skull black eye after mohs surgery is suspected, your doctor will order a scan. Techniques that may aid in its prevention blood in that particular area endings in first! Urgent or confidential nature, do not use this form and call us at 781.416.3500 common potential post-operative complication the! Is black eye after mohs surgery due to trauma to the small nerve endings in the eye,... For educational purposes only, medications may be used including small side-to-side repairs... A promise or representation of any particular outcome or experience to provide with. Process that varies depending on the incision line after skin cancer surgery Plan... Wide local excision this minor operation request via the patient portal, or advice especially when they are advised undergo!

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