Second intention healing after Mohs micrographic surgery

Abstract

Second intention healing is a simple and cost-effective method for reconstruction after Mohs micrographic surgery in well-defined cases. It allows adequate tumoral control with good to excellent functional and cosmetic results.

The Efficacy of Second-Intention Healing in the Management of Defects on the Dorsal Surface of the Hands and Fingers after Mohs Micrographic Surgery

“…2 The decision to use second-intention healing should include consideration of the location, depth, and size of the defect, because these factors may affect healing time and cosmesis. Reconstruction without distorting local architecture and obtaining good functional and cosmetic results are the desired outcomes of a suitable method for wound repair.…”

“…[1][2][3] This type of healing has been demonstrated to have good functional and cosmetic results 4 in several body areas, including the lip and forehead. [1][2][3] This type of healing has been demonstrated to have good functional and cosmetic results 4 in several body areas, including the lip and forehead.…”

Basal cell carcinoma treated with Mohs micrographic surgery in young Ibero‐American patients

“…The frequency of closure by secondary intention, which in our study was only 6.6%, has been quite variable in the literature, with frequencies ranging from 3 to 41% . Some authors suggest that closure by secondary intention allows rapid evaluation and better monitoring of tumor recurrence, offers acceptable esthetic results in properly selected cases, and has a lower cost .…”

Large Postauricular Defects

“…The concept of secondary intention healing is not new, with Dr. Mohs himself allowing the majority of his wounds to heal in this manner. Dr. Mohs used the fixed‐tissue technique, which caused tissue necrosis and required the wound to stay open until the crust peeled off . The advent of the fresh‐tissue technique allowed surgeons to close the defect immediately.…”

“…Immediate closure resulted in shorter healing time for patients and in some cases superior aesthetic outcomes, although granulation may result in aesthetically appealing outcomes when used in the appropriate location. Concave areas heal nicely, but the posterior aspect of the auricle, temples, forehead, and antihelix also heal well . Some authors recommend healing by granulation if the tumor is aggressive, recurrent, or requires more than three stages of Mohs surgery .…”