Secondary Intention Healing after Functional Surgery for Melanoma of the Nail Apparatus: Functional, Cosmetic, and Patient Satisfaction Results.

IF 1.4 Q3 DERMATOLOGY

Skin Appendage Disorders Pub Date : 2025-03-28 DOI:10.1159/000545468

Jonathan Stevens, Martín Céspede-Núñez

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引用次数: 0

Abstract

Introduction: Functional surgery is the preferred approach for nail melanoma in situ (NMIS) and minimally invasive nail melanoma (MINM, Breslow ≤0.5 mm). Secondary intention healing (SIH) offers an alternative to traditional skin grafting, with favorable cosmetic, functional, and satisfaction outcomes and minimal complications.

Methods: Six patients (mean age 54.8 years; 4 SMIS, 2 MISSM) underwent functional surgery with SIH. Healing times (granulation [T1] and re-epithelialization [T2]), complications, and outcomes were assessed at 12 weeks using QUICK-DASH, VBSAS, VAS, satisfaction scores, and DLQI.

Results: Mean T1 and T2 were 2.83 and 8.45 weeks, respectively. One patient experienced intense postoperative pain; another had a late nail spike. No hyperpigmentation or recurrences were observed. Outcomes: QUICK-DASH 18.92%; VBSAS 2.8 (12 weeks) and 0.25 (24 weeks); VAS 2; DLQI 2; and satisfaction 9.8/10 (10/10 after amputation discussion).

Conclusions: SIH provides an effective alternative to grafting, allowing acceptable healing times, flexibility for margin extension or amputation, and excellent cosmetic, functional, and satisfaction outcomes with minimal complications.

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甲器黑色素瘤功能性手术后的二次意向愈合：功能、美容和患者满意度结果。

功能手术是原位指甲黑色素瘤（NMIS）和微创指甲黑色素瘤（MINM, Breslow≤0.5 mm）的首选方法。二次意向愈合（SIH）提供了传统皮肤移植的替代方案，具有良好的美容、功能和满意的结果，并发症最小。方法：6例患者(平均年龄54.8岁；4例SMIS， 2例MISSM)行SIH功能手术。12周时，使用QUICK-DASH、VBSAS、VAS、满意度评分和DLQI评估愈合时间（肉芽形成[T1]和再上皮化[T2]）、并发症和结果。结果：平均T1为2.83周，T2为8.45周。1例患者术后剧烈疼痛；另一个人的钉子刺得很晚。未见色素沉着或复发。结果：QUICK-DASH 18.92%；VBSAS为2.8（12周）和0.25（24周）；血管2;DLQI 2;满意度9.8/10（截肢后讨论10/10）。结论：SIH提供了一种有效的替代移植术，允许可接受的愈合时间，边缘延伸或截肢的灵活性，以及良好的外观，功能和满意的结果，并发症最小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Skin Appendage Disorders DERMATOLOGY-

CiteScore

2.00

自引率

10.00%

发文量