Neoplastic, Inflammatory and Degenerative Conditions

Head and Neck Reconstruction

Secondary intention healing in lower eyelid reconstruction – a valuable treatment option

Morton J (Whiston Hosp, Prescot, Merseyside, UK) J Plast Reconstr Aesth Surg 63:1921-1925, 2010^§

Abstract

Secondary intention healing – or laissez-faire technique – is the first rung on the reconstructive ladder but may often be overlooked in favour of more elegant reconstructive options. Whilst the nose and medial canthus of eye have long been considered suitable sites for secondary intention healing, most plastic surgeons would hesitate to employ this technique with full-thickness lower eyelid wounds. There are currently no reports in the plastic surgery literature advocating its use, but the technique is gaining credence in the field of oculoplastics as a genuinely useful alternative to formal reconstruction.

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