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Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
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Reducing Risks for Poor Surgical Wound Healing.

David B Hom1, Morgan E Davis1

  • 1Department of Otolaryngology Head and Neck Surgery, University of California San Diego School of Medicine.

Facial Plastic Surgery Clinics of North America
|March 31, 2023
PubMed
Summary

Identifying and managing risk factors is key to preventing poor surgical healing on the face and neck. Early recognition of delayed wound healing allows for timely intervention to improve patient outcomes.

Keywords:
Chronic woundsCigarette smokingDelayed healingIrradiationMalnutritionVapingWound healing

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Area of Science:

  • Plastic Surgery
  • Wound Healing
  • Surgical Risk Factors

Background:

  • Poor surgical healing, particularly on the face and neck, presents a significant challenge in plastic surgery.
  • Identifying and mitigating risk factors is crucial for successful surgical outcomes.

Purpose of the Study:

  • To review common risk factors associated with delayed wound healing in facial and neck surgeries.
  • To outline a generalized approach for managing delayed healing wounds.

Main Methods:

  • Literature review of common risk factors for poor surgical healing.
  • Discussion of preoperative screening protocols.
  • Overview of treatment strategies for delayed wound healing.

Main Results:

  • Common risk factors include prior irradiation, smoking (cigarettes or e-cigarettes), chronic steroid use, alcoholism, diabetes, malnutrition, and other chronic medical conditions.
  • Persistent inflammation can occur despite optimal surgical technique.

Conclusions:

  • Facial plastic surgeons must be adept at recognizing delayed healing and identifying both intrinsic and extrinsic risk factors.
  • Timely intervention based on risk factor assessment and wound evaluation is essential for optimal patient recovery.