This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Dermatologic Disorders, Other  • Dermatologic Laser Surgery  • Dermatology, Other  • Alert me on articles by topic

Steven Q. Wang, MD; Leonard H. Goldberg, MD, FRCP

Arch Dermatol. 2007;143(6):700-702.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Second intention may be the best option available to the surgeon for the healing of particular surgical defects after Mohs micrographic surgery. It often provides satisfactory cosmetic and functional outcomes. However, healing takes longer than that for other repair options, and patients may need to endure a prolonged and cumbersome course of postoperative wound care. Some healing defects may develop hypergranulation tissue and become chronic ulcers especially.

REPORT OF CASES

CASE 1

An 82-year-old white man underwent Mohs micrographic surgery for treatment of a squamous cell carcinoma on the left side of his forehead in September 2002. The tumor was completely excised in 4 stages. The resultant 7.2 x 7.0-cm partial-thickness defect was allowed to heal by second intention. Initially, the wound care treatment consisted of biweekly wound cleansing with isotonic sodium chloride solution and dressing change with Aquaphor ointment (Beiersdorf Inc, Wilton, Conn), Telfa pads . . . [Full Text of this Article]

CASE 2

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

AUTHOR INFORMATION

DermSurgery Associates, Houston, Tex; Dr Wang is now with the Division of Dermatology, Memorial Sloan-Kettering Cancer Center, New York, NY