Affiliation:
1. Department of Dermatology Venereology and Allergy University Medical Centre Mannheim Medical Faculty Mannheim Heidelberg University and Centre of Excellence of Dermatology of Baden‐Württemberg Mannheim Germany
2. Center of Dermatosurgery St. Josefskrankenhaus Academic Teaching Hospital Medical Faculty Mannheim Heidelberg University Heidelberg Germany
Abstract
SummarySecondary intention healing has been a well‐established method to close wounds for more than 200 years. Indeed, it represents the easiest technique in the ladder of plastic reconstruction. Primary wound closure (side‐to‐side closure, direct wound closure) is the second easiest method. The combination of these two techniques is already an integral aspect of specific surgical procedures, e.g. the reconstruction of the donor site of a paramedian forehead flap. This minireview will show that the combination is also a suitable alternative to classic flaps in reconstruction of different aesthetic subunits of the face. These are the scalp, the lateral cheek, the upper nasal sidewall/medial canthus and the retroauricular region. The advantages and disadvantages will be discussed and illustrated with clinical examples.
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