Sebastian G, Herrmann A
Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.
Hautarzt. 2005 May;56(5):423-9. doi: 10.1007/s00105-005-0929-2.
Immediate reconstruction of full-thickness skin defects after micrographic surgical removal of facial skin cancers is a commonly accepted principle. Healing by secondary intention on the face is controversial. Considering both the literature and our own experience, we offer indications and contraindications for this approach, tailored to the various facial anatomic units. Secondary wound healing is a safe, effective and cost-saving alternative to surgical reconstruction in selected areas.
在显微外科手术切除面部皮肤癌后立即重建全层皮肤缺损是一项普遍接受的原则。面部通过二期愈合存在争议。综合文献和我们自己的经验,我们针对面部不同解剖部位给出了这种方法的适应证和禁忌证。在特定区域,二期伤口愈合是手术重建的一种安全、有效且节省成本的替代方法。