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Sekundäre Wundheilung nach tumorchirurgischen Eingriffen im Kopf-Hals-Bereich

Healing by secondary intention after skin cancer surgery on the head and neck

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Zusammenfassung

Für die Rekonstruktion von Defekten nach tumorchirurgischen Eingriffen im Kopf-Hals-Bereich steht dem Dermatochirurgen eine Vielzahl von Verfahren zur Verfügung. In der Regel kommen primäre Wundverschlüsse, lokale Lappenplastiken oder Hauttransplantate zum Einsatz. Die Wahl des jeweiligen Verfahrens hängt neben Defektgröße und Lokalisation auch von der Vorliebe des Operateurs für bestimmte Defektverschlüsse ab. Die sekundäre Wundheilung im Kopf-Hals-Bereich hat zu Unrecht einen schlechten Ruf und wird häufig voreilig mit dem Unvermögen zu komplexeren Rekonstruktionen gleichgesetzt. In der vorliegenden Arbeit sollen die Möglichkeiten und Grenzen der Sekundärheilung im Kopf-Hals-Bereich in unterschiedlichen anatomischen Lokalisationen erörtert werden.

Abstract

Defects resulting from skin cancer surgery of the head and neck can be closed with a variety of reconstruction techniques. Primary closure, local flaps and skin grafts are commonly used. Besides defect size and anatomic localization, the choice of a specific technique also depends on the dermatosurgeon’s preference. Secondary intention healing often has a bad reputation and is wrongly regarded as synonymous with insufficient skills in reconstructive surgery. The indications and contraindications for secondary healing in the head and neck area are presented and related to different anatomic subunits.

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  1. Abteilung für Dermatochirurgie, Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland

    F.G. Bechara

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Bechara, F. Sekundäre Wundheilung nach tumorchirurgischen Eingriffen im Kopf-Hals-Bereich. Hautarzt 64, 567–576 (2013). https://doi.org/10.1007/s00105-013-2540-2

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