Minimally Invasive Options for Cutaneous Defects: Secondary Intention Healing, Partial Closure, and Skin Grafts

Cordoro, Kelly M.; Russell, Mark

doi:10.1016/j.fsc.2004.11.008

Cited by 19 publications

(19 citation statements)

References 109 publications

(101 reference statements)

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“…The proliferative and epithelialization phases of wound healing begin within 2 to 3 days, leading to neovascularization and reestablishment of epidermal integrity, followed by wound contraction. 23 Long-term follow-up has shown that healing by secondary intention can provide optimal results. The treatment of nipple hypertrophy can be approached in a similar manner.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Nipple Hypertrophy by a Simplified Reduction Technique

Moliver

Kargel

Sullivan

2013

Aesthetic Surgery Journal

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Section: Discussionmentioning

confidence: 99%

Treatment of Nipple Hypertrophy by a Simplified Reduction Technique

Moliver

Kargel

Sullivan

2013

Aesthetic Surgery Journal

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“…16,[22][23][24] In elderly patients, medial canthus skin is thin, lax, and contracts with minimal distortion. 25 In an SIH cohort of 29 superior medial canthus defects, acceptable healing was seen in 26 (90%). 21 The authors noted good color and texture match regardless of wound depth.…”

Section: Eyelids and Medial Canthusmentioning

confidence: 96%

Scars after Second Intention Healing

Donaldson

Coldiron²

2012

Facial plast Surg

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Second intention healing (SIH) is useful for many defects after skin cancer removal. SIH decreases intraoperative morbidity and reduces procedure costs. Granulating wounds are rarely infected, have minimal pain or bleeding, and care is simple. Location is the key determinant in cosmetic outcomes of SIH. Concavities of the face including the medial canthus and conchal bowl often heal imperceptibly. Defects on convex surfaces such as the nasal tip and malar cheek can heal poorly with depressed scars. Flat areas of the cheeks, forehead, and chin heal favorably but cosmesis can be unpredictable. These regions are often described by NEET (concavities of the nose, eyes, ears, and temple), NOCH (convexities of nose, oral lips, cheek, chin, and helix), and FAIR (flat areas of the forehead, antihelix of the ear, eyelids, and rest of the nose, lips, and cheeks). We review the limited literature describing SIH based on regional anatomy of the face. Complications of SIH include exuberant granulation tissue, hypopigmented or telangiectatic scars, and distortion of free lid margins. SIH should be an integral part of the surgeon's reconstructive algorithm after skin cancer removal.

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“…Wenngleich in jüngster Zeit immer wieder zugunsten der plastisch-rekonstruktiven Operationen zurückge-drängt, können mit dieser Methode funktionell und ästhetisch ansprechende Ergebnisse erzielt werden [22,26,27]. Cordoro und Russell beschreiben sogar eine zahlenmäßige Zunahme dieser Behandlungsmethode, nicht zuletzt aufgrund der Patienten, die nach vorheriger plastischer Deckung Komplikationen aufwiesen [6]. Das kosmetische Ergebnis ist von verschiedenen Faktoren abhängig: Neben der Defektgröße [11] und -tiefe sowie der Hautbeschaffenheit [4,14,16] Unter Berücksichtigung verschiedener anatomischer Untereinheiten des Gesichts wurden für Defekte bis zu 2 cm Durchmesser nach Sekundärheilung funktionell und ästhetisch sehr gute Ergebnisse dokumentiert.…”

Section: Diskussionunclassified

“…7). Generell ist hier mit einer höheren Rate an Wundkontraktionen [6,16], flachen, hypopigmentierten oder teleangiektatischen Narben [4,26] und ggf. einer Störung der Gesichtssymmetrie [12] zu rechnen.…”

Section: Introductionunclassified

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Sekundäre Wundheilung

Hoffmann¹,

Arnolds²,

Schüler³

et al. 2012

HNO

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Plastic reconstruction of facial skin defects after tumor surgery is a commonly accepted principle. However, healing by secondary intention is discussed controversially. Here we describe a series of 22 patients after full thickness resection of basal cell carcinoma who underwent wound healing by secondary intention. A semipermeable membrane was used for wound dressing, which was changed on a weekly basis. No antibiotics or pain killers were necessary. Defects up to 2 cm, particularly those of concave subunits of the midface, entirely closed within 4-6 weeks, and secondary wound healing led to excellent functional and aesthetic results. Thus, secondary wound healing is a safe, effective and economic alternative to surgical reconstruction in selected facial areas.

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Minimally Invasive Options for Cutaneous Defects: Secondary Intention Healing, Partial Closure, and Skin Grafts

Cited by 19 publications

References 109 publications

Treatment of Nipple Hypertrophy by a Simplified Reduction Technique

Treatment of Nipple Hypertrophy by a Simplified Reduction Technique

Scars after Second Intention Healing

Sekundäre Wundheilung

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