Efficacy of secondary intention healing for scalp defects-Case series from a single institution.

BACKGROUND/OBJECTIVES: As surgical techniques evolve, there remains underutilisation of secondary intention healing as a valid reconstruction option. This is largely due to concerns regarding inferiority of wound cosmesis, increased downtime with wound healing and infection risk (Dermatol Surg. 2020; 46(12): 1492-97).

METHODS

We sought to look at the outcome of secondary intention healing in a cohort of patients seen at a private dermatology practice with small to medium sized scalp defects. All patients completed a satisfaction survey that further evaluated its feasibility.

RESULTS

Excellent cosmetic outcome was noted with secondary intention healing for small to medium scalp defects, specifically in patients with thinning scalps that allowed healing without patchy alopecia.

CONCLUSIONS

Secondary intention healing should be considered as a reconstructive option for scalp defects, especially in the right patient cohort.