Approaching Delayed-Healing Wounds on the Face and Neck - 30/01/13

Doi : 10.1016/j.fsc.2012.11.003

Jeffrey J. Houlton, MD ^a, David B. Hom, MD ^b,^⁎
^a Department of Otolaryngology - Head & Neck Surgery, University of Cincinnati College of Medicine, P.O. Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA
^b Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology – Head & Neck Surgery, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, P.O. Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA

Corresponding author.

Résumé

This article provides a general approach to the assessment and treatment of poorly healing dermal wounds of the face and neck. When poor healing occurs, it can produce significant functional and cosmetic impairment. A systematic framework for treating these wounds is provided, which focuses on identifying the systemic and local factors contributing to poor healing; provides an overview of the basic tenets of wound treatment; and focuses on a general approach to preparation of the wound bed. In addition, approaching the challenge of an irradiated dermal wound and adjunctive measures to help “jump-start” a wound are discussed.

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Keywords : Wound healing, Skin, Wound-bed preparation, Dermal, Delayed healing, Growth factor, Hyperbaric oxygen, Platelet-rich plasma