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Second intention healing for intermediate and large postsurgical defects of the lip
Aimee L Leonard1, C William Hanke
1Laser and Skin Surgery Center of Indiana, Carmel, Indiana 46032, USA.
Journal of the American Academy of Dermatology
|October 18, 2007
Summary
Second intention healing effectively manages larger lip defects after Mohs surgery, yielding high patient satisfaction and good functional and cosmetic outcomes with few complications.
Area of Science:
- Dermatology
- Plastic Surgery
- Oncology
Background:
- The lip is crucial for function and appearance.
- Various reconstruction methods exist for lip defects.
- Second intention healing is typically for small defects.
Purpose of the Study:
- Evaluate second intention healing for intermediate to large lip defects.
- Assess complication rates, healing time, and patient satisfaction.
Main Methods:
- Retrospective chart review and telephone interviews.
- Analyzed 25 patients with lip defects after Mohs surgery.
- Focused on non-melanoma skin cancer defects.
Main Results:
- Most patients had good to excellent cosmetic and functional results.
- Average reepithelialization time was 25 days.
- High patient satisfaction reported for healing and aesthetics.
Conclusions:
- Second intention healing is effective for larger lip defects.
- Suitable for defects involving skin and muscle.
- Patient satisfaction is a key positive outcome.
