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[Secondary healing of the face]
1Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden. guenther.sebastian@mailbox.tu-dresden.de
Summary
Healing facial skin defects by secondary intention is a safe and effective alternative to surgical reconstruction in specific cases. This approach offers cost savings for selected facial areas after cancer removal.
Area of Science:
- Dermatology
- Plastic Surgery
- Oncology
Context:
- Facial skin cancer surgery often necessitates immediate defect reconstruction.
- Healing facial defects by secondary intention remains a debated topic.
- Established principles favor surgical reconstruction for full-thickness defects.
Purpose:
- To evaluate the indications and contraindications for secondary wound healing in facial defects.
- To analyze the safety, efficacy, and cost-effectiveness of secondary intention healing.
- To provide tailored guidance based on facial anatomical units.
Summary:
- This study reviews literature and clinical experience to define criteria for secondary wound healing of facial defects.
- Secondary intention is presented as a viable, cost-effective option for specific facial areas post-cancer excision.
- Contraindications and specific anatomical indications are detailed.
Impact:
- Offers a evidence-based approach to managing facial skin defects after cancer surgery.
- Provides clinicians with guidance to select appropriate wound healing strategies.
- Potentially reduces healthcare costs by promoting conservative management where suitable.