medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2024, Number 1

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2024; 22 (1)

Secondary intention healing in lower eyelid in a young woman with a malignant neoplasm. Literature review

Cardona HMÁ, López OKV, Rosas-Morett MT, Fuentes-Calvo KJ

Language: Spanish
References: 13
Page: 82-86
PDF size: 226.91 Kb.


ABSTRACT

Closure by secondary intention and closure by first intention are equivalent in terms of patient satisfaction or cosmetic outcome.
Regarding second intention healing, most surgeons prefer it when dealing with small defects, superficial wounds or patients with low esthetic expectations, although despite this, it is important to choose properly according to the type of wound presented and to individualize each patient. Other factors that should be considered when assessing the suitability of closure by secondary intention are the size, and depth of the wound. Superficial wounds heal better by secondary intention than deep wounds. Skin color is also an important consideration, as wounds healed by secondary intention tend to produce a hypopigmented scar, which may be less noticeable, and therefore more cosmetically acceptable in fair-skinned individuals. We report the case of a young patient with basal cell carcinoma who was treated by second intention closure.


REFERENCES

  1. Schwartzman G, Cartron AM y Khachemoune A, Review andreappraisal of assessment parameters of second intentionhealing after Mohs micrographic surgery, Archives of DermatologicalResearch 2022; 314(1):7-23. Disponible en: https://doi.org/10.1007/s00403-021-02209-y.

  2. Bazzano C, Álvarez M y Martínez M, Apósitos hidrocoloidalesen la cicatrización por segunda intención de heridas quirúrgicas,Revista Médica del Uruguay 2008; 24(1):32-6. Recuperado el 5de enero de 2023. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S168803902008000100005&lng=es&tlng=es.

  3. Stebbins WG, Gusev J, Higgins HW 2nd, Nelson A, GovindarajuluU y Neel V, Evaluation of patient satisfaction with secondintention healing versus primary surgical closure, Journal ofthe American Academy of Dermatology 2015; 73(5):865-7. Disponibleen: https://doi.org/10.1016/j.jaad.2015.07.019.

  4. Rivera AE y Spencer JM, Clinical aspects of full-thicknesswound healing, Clinics in Dermatology 2007; 25(1):39-48. Disponibleen: https://doi.org/10.1016/j.clindermatol.2006.10.001.

  5. Trieu DN, Drosou A, White LE y Goldberg LH, Outcomes ofsecond intention healing of the lower eyelid margin after Mohsmicrographic surgery, Dermatologic Surgery 2019; 45(7):884-9.Disponible en: https://doi.org/10.1097/DSS.0000000000001951.

  6. Mott KJ, Clark DP y Stelljes LS, Regional variation in woundcontraction of Mohs surgery defects allowed to heal by secondintention, Dermatologic Surgery 2003; 29(7):712-22. Disponibleen: https://doi.org/10.1046/j.15244725.2003.29180.x.

  7. Stebbins WG y Neel V, Primary surgical closure versus secondintention healing (sih) after Mohs micrographic surgery: patientsatisfaction and clinical implications, Journal of the AmericanAcademy of Dermatology 2016; 75(2):e71-2. Disponible en:https://doi.org/10.1016/j.jaad.2016.02.1238.

  8. Lowry JC, Bartley GB y Garrity JA, The role of second-intentionhealing in periocular reconstruction, Ophthalmic Plastic and ReconstructiveSurgery 1997; 13(3):174-88. Disponible en: https://doi.org/10.1097/00002341-199709000-00004.

  9. Kantor J, Primary surgical closure versus second intentionhealing after Mohs micrographic surgery: patient satisfactionand clinical implications, Journal of the American Academyof Dermatology 2016; 75(1): e35. Disponible en: https://doi.org/10.1016/j.jaad.2015.12.058.

  10. Donaldson MR y Coldiron BM, Scars after second intentionhealing, Facial Plastic Surgery 2012; 28(5):497-503. Disponibleen: https://doi.org/10.1055/s-00321325643.

  11. Moreno-Arias GA, Izento-Menezes CM, Carrasco MA y CampsFresneda A, Second intention healing after Mohs micrographicsurgery, Journal of the European Academy of Dermatologyand Venereology 2000; 14(3):159-65. Disponible en: https://doi.org/10.1046/j.1468-3083.2000.00046.x.

  12. Bowman PH, Fosko SW y Hartstein ME, Periocular reconstruction,Seminars in Cutaneous Medicine and Surgery 2003;22(4):263-72. Disponible en: https://doi.org/10.1016/S1085-5629(03)00076-2.

  13. Kibbi N, Khan Y, Leffell DJ, Christensen SR y Suozzi KC, Predictingoutcomes following second intent healing of periocularsurgical defects, Archives of Dermatological Research 2021;313(6): 483-9. Disponible en: https://doi.org/10.1007/s00403-020-02122-w.




2020     |     www.medigraphic.com