title: [Secondary wound healing. Effective treatment concept after basal cell carcinoma resection in the central midface].
abstract: Plastic reconstruction of facial skin defects after tumor surgery is a commonly accepted principle. However, healing by secondary intention is discussed controversially. Here we describe a series of 22 patients after full thickness resection of basal cell carcinoma who underwent wound healing by secondary intention. A semipermeable membrane was used for wound dressing, which was changed on a weekly basis. No antibiotics or pain killers were necessary. Defects up to 2 cm, particularly those of concave subunits of the midface, entirely closed within 4-6 weeks, and secondary wound healing led to excellent functional and aesthetic results. Thus, secondary wound healing is a safe, effective and economic alternative to surgical reconstruction in selected facial areas.
authors: HNO-Universitätsklinik, Universität Essen, Hufelandstrasse 55, Essen, Germany. thomas.hoffmann@uk-essen.de
authors: T K
authors: TK
authors: Hoffmann
authors: J
authors: J
authors: Arnolds
authors: P J
authors: PJ
authors: Schuler
authors: E
authors: E
authors: Kultas
authors: J
authors: J
authors: Greve
authors: N
authors: N
authors: Mansour
authors: M
authors: M
authors: Bas
authors: S
authors: S
authors: Lang
authors: A
authors: A
authors: Hilpert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009669:Nose Neoplasms / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing