Approaching delayed-healing wounds on the face and neck

Area of Science:

• Dermatology
• Wound Healing Science
• Plastic Surgery

Background:

• Poorly healing dermal wounds, especially on the face and neck, can lead to significant functional and cosmetic deficits.
• Effective management requires a structured approach to address underlying causes and optimize healing conditions.

Purpose of the Study:

• To present a general framework for the assessment and treatment of poorly healing dermal wounds of the face and neck.
• To outline strategies for identifying local and systemic factors impacting wound healing.
• To discuss wound bed preparation, management of irradiated wounds, and adjunctive therapies.

Main Methods:

• Systematic review of current literature and clinical best practices for wound management.
• Development of a framework for wound assessment, including identification of etiological factors.
• Description of fundamental wound treatment principles and advanced techniques.

Main Results:

• A comprehensive approach is detailed, emphasizing the importance of a prepared wound bed.
• Strategies for managing challenging cases, such as irradiated wounds, are provided.
• Adjunctive measures are discussed to enhance the healing process.

Conclusions:

• A systematic, multi-faceted approach is crucial for optimizing the treatment of poorly healing dermal wounds.
• Addressing both local and systemic factors, alongside proper wound bed preparation, improves functional and cosmetic outcomes.
• The framework presented aids clinicians in managing complex facial and neck wounds effectively.