| Scars after second intention healing. | |
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MedLine Citation:
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PMID: 23027216 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Second intention healing (SIH) is useful for many defects after skin cancer removal. SIH decreases intraoperative morbidity and reduces procedure costs. Granulating wounds are rarely infected, have minimal pain or bleeding, and care is simple. Location is the key determinant in cosmetic outcomes of SIH. Concavities of the face including the medial canthus and conchal bowl often heal imperceptibly. Defects on convex surfaces such as the nasal tip and malar cheek can heal poorly with depressed scars. Flat areas of the cheeks, forehead, and chin heal favorably but cosmesis can be unpredictable. These regions are often described by NEET (concavities of the nose, eyes, ears, and temple), NOCH (convexities of nose, oral lips, cheek, chin, and helix), and FAIR (flat areas of the forehead, antihelix of the ear, eyelids, and rest of the nose, lips, and cheeks). We review the limited literature describing SIH based on regional anatomy of the face. Complications of SIH include exuberant granulation tissue, hypopigmented or telangiectatic scars, and distortion of free lid margins. SIH should be an integral part of the surgeon's reconstructive algorithm after skin cancer removal. |
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Authors:
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Matthew R Donaldson; Brett M Coldiron |
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Publication Detail:
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Type: Journal Article Date: 2012-10-01 |
Journal Detail:
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Title: Facial plastic surgery : FPS Volume: 28 ISSN: 1098-8793 ISO Abbreviation: Facial Plast Surg Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405303 Medline TA: Facial Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 497-503 Citation Subset: D |
Copyright Information:
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
Affiliation:
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Department of Mohs Micrographic Surgery and Cutaneous Oncology, Mountain West Dermatology, Grand Junction, Colorado. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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