Defect Closure After Lesion Excision of the Face



The options to close facial defects range from closure by secondary intent, which is the simplest of techniques in the reconstructive ladder, to a microvascular free flap, which sits at the highest rung of complexity in the reconstructive ladder. Consideration of reconstructive options for cutaneous facial defects generally start with the simplest options, but move up the reconstructive ladder as needed in order to achieve a functionally and cosmetically adequate outcome for patients. Along this gradient of options, the use of linear primary closures on the face is oftentimes a sufficient and reliable technique for most soft tissue defects encountered by surgeons.


Primary Closure Soft Tissue Defect Reconstructive Option Facial Reconstruction Facial Defect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Fazio MJ, Zitelli JA. Principles of reconstruction following excision of nonmelanoma skin cancer. Clin Dermatol. 1995;13(6):601–16. Epub 1995/11/01.PubMedCrossRefGoogle Scholar
  2. 2.
    Poulsen M, Burmeister B, Kennedy D. Preservation of form and function in the management of head and neck skin cancer. World J Surg. 2003;27(7):868–74. Epub 2003/09/26.PubMedCrossRefGoogle Scholar
  3. 3.
    Soliman S, Hatef DA, Hollier Jr LH, Thornton JF. The rationale for direct linear closure of facial Mohs’ defects. Plast Reconstr Surg. 2011;127(1):142–9. Epub 2011/01/05.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of OtolaryngologyNorthwestern University Feinberg School of MedicineChicagoUSA

Personalised recommendations