Dermatology Specialist Centre, Clayfield, Queensland, Australia.
Australas J Dermatol. 2023 Nov;64(4):522-525. doi: 10.1111/ajd.14141. Epub 2023 Aug 11.
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).
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.
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.
Secondary intention healing should be considered as a reconstructive option for scalp defects, especially in the right patient cohort.
背景/目的：随着外科技术的发展，二期愈合作为一种有效的重建选择仍然未得到充分利用。这主要是由于对伤口美容效果较差、愈合时间延长和感染风险增加的担忧（皮肤病外科学杂志。2020；46(12)：1492-97）。
我们试图观察在一家私人皮肤科诊所就诊的小至中型头皮缺损患者中二期愈合的结果。所有患者都完成了满意度调查，进一步评估了其可行性。
二期愈合对小至中型头皮缺损的美容效果极佳，特别是在头皮变薄的患者中，无需片状脱发即可愈合。
二期愈合应被视为头皮缺损的重建选择，特别是在合适的患者群体中。
