Secondary wound healing. Effective treatment concept after basal cell carcinoma resection in the central midface

作者: T.K. Hoffmann , J. Arnolds , P.J. Schuler , E. Kultas , J. Greve

DOI: 10.1007/S00106-011-2473-Y

关键词: Effective treatmentMedicineBasal cell carcinomaWound healingWound dressingSurgeryFull thickness resectionResectionCarcinomaSecondary intention

摘要: Plastic reconstruction of facial skin defects after tumor surgery is a commonly accepted principle. However, healing by secondary intention discussed controversially. Here we describe series 22 patients full thickness resection basal cell carcinoma who underwent wound intention. A semipermeable membrane was used for dressing, which changed on weekly basis. No antibiotics or pain killers were necessary. Defects up to 2 cm, particularly those concave subunits the midface, entirely closed within 4-6 weeks, and led excellent functional aesthetic results. Thus, safe, effective economic alternative surgical in selected areas.

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