Comparison of Cosmesis following Healing by Surgical Closure and Second Intention

Ellner, Kenneth; Goldberg, Leonard Harry; Sperber, Jay

doi:10.1111/j.1524-4725.1987.tb00579.x

Cited by 16 publications

(4 citation statements)

References 8 publications

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“…Remarkably, SIH appears to have the least postoperative pain of all methods. 22,24 Another notable benefit is superior tumor recurrence surveillance because direct visualization is possible. As such, SIH may be especially useful for recurring or aggressive tumors.…”

Section: Discussionmentioning

confidence: 99%

Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience

Barrera-Llaurador

Carrasquillo²,

Santiago-Vázquez³

et al. 2022

Adv Skin Wound Care

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OBJECTIVE To describe the trends in second-intention healing (SIH) use at a single Mohs micrographic surgery (MMS) dermatology clinic and assess outcomes and patient satisfaction. METHODS The authors conducted a single-center, retrospective study of patients who underwent MMS from November 2012 through November 2018. Data obtained for each patient included sex, age, tumor characteristics, number of MMS stages, final defect size, and postoperative complications. Patient satisfaction of SIH was retrospectively assessed by telephone survey. RESULTS Providers used SIH in 22% of all MMS cases (n = 159/718). It was most commonly used for defects located on the nose, ear, temple, and periocular region. The average defect size and number of MMS stages for tumor clearance were 1.3 cm and 1.5 stages, respectively. Overall, low rates of postoperative complications were observed, and 95% of patients reported optimal or acceptable levels of satisfaction. CONCLUSIONS This study supports the idea that SIH is a safe, effective alternative for wound management and may have broader practice indications than those traditionally proposed.

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Section: Discussionmentioning

confidence: 99%

Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience

Barrera-Llaurador

Carrasquillo²,

Santiago-Vázquez³

et al. 2022

Adv Skin Wound Care

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“…3 Despite the refinement of reconstructive techniques, second intention healing remains a viable option for select facial locations. 4 In general, areas that heal best by second intention are those located on concave facial surfaces. Convex surfaces, such as the nasal tip and alar rim, are less predictable and often heal with an unacceptable scar.…”

Section: Discussionmentioning

confidence: 99%

“…In the 1970s, the fresh‐tissue technique became popular and immediate reconstruction became possible 3 . Despite the refinement of reconstructive techniques, second intention healing remains a viable option for select facial locations 4 . In general, areas that heal best by second intention are those located on concave facial surfaces.…”

Section: Discussionmentioning

confidence: 99%

Immediate Postoperative Laser Resurfacing Improves Second Intention Healing on the Nose: 5-Year Experience

Ammirati

COTTINGHAM²,

Hruza

2001

Dermatol Surg

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Background. Mohs surgery defects on convex nasal surfaces do not reliably heal well by second intention. Prior to the availability of laser resurfacing we found that immediate postoperative dermabrasion improved the predicted outcome from second intention healing for these defects. Objective. To determine the ability of immediate postoperative CO2 and Er:YAG laser resurfacing to improve predicted healing by second intention. Methods. Seventy‐four patients with Mohs surgical defects on the nose underwent immediate postoperative resurfacing with either a scanned CO2 or long‐pulsed Er:YAG laser. Thirty patients had photographs of appropriate quality and follow‐up for evaluation by a panel of nine objective physicians. Results. All 74 patients were satisfied with their result and none have requested scar revision. Of the 30 patients evaluated by the panel, all were scored acceptable to excellent. Conclusion. Immediate laser resurfacing can improve the predicted outcome from second intention healing on the nose and should be considered for select patients.

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“…Curettage without or with electrodesiccation or chemical cautery may be used for small lesions. The wound is left for second intention healing 6,7 . The scar will eventually shrink concentrically without major distortion of the nasal tip; however, in porous skin, the scar from granulation tissue will always remain very obvious because of its smooth, shiny, whitish appearance.…”

Section: Simple Techniquesmentioning

confidence: 99%

Surgical Treatment of Defects on the Tip of the Nose

Haneke¹

1998

Dermatologic Surgery

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Comparison of Cosmesis following Healing by Surgical Closure and Second Intention

Cited by 16 publications

References 8 publications

Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience

Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience

Immediate Postoperative Laser Resurfacing Improves Second Intention Healing on the Nose: 5-Year Experience

Surgical Treatment of Defects on the Tip of the Nose

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