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[Operative appraoches at problem sites].

G Sebastian1

  • 1Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Deutschland. guenther.sebastian@mailbox.tu-dresden.de

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|June 15, 2007
PubMed
Summary
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The term "problem sites" in reconstructive surgery refers to challenging anatomical locations like the nose or eyelids. Increased surgeon experience in plastic and reconstructive surgery is reducing the frequency of this designation.

Area of Science:

  • Dermatologic surgery
  • Plastic and reconstructive surgery

Context:

  • The definition of "problem sites" in reconstructive surgery is multifactorial.
  • Factors include disease characteristics, anatomical location, excision defect size, and wound closure method.

Purpose:

  • To define and delineate the concept of "problem sites" in dermatologic surgery.
  • To identify typical anatomical locations considered challenging for reconstruction.

Summary:

  • "Problem sites" are anatomical areas (e.g., nose, eyelids, hands, anogenital region) that present unique challenges due to disease, defect, and reconstruction complexity.
  • These sites are considered functional-aesthetic entities requiring specialized surgical approaches.

Impact:

  • The term "problem sites" is expected to be used less frequently as dermatologic surgeons gain more expertise in plastic and reconstructive techniques.

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  • Enhanced surgical experience may lead to improved outcomes and a broader understanding of reconstructive possibilities in challenging areas.