Evidence map›Paper›PMID 42020561›Full record

SynthesisAesthetic plastic surgery2026

Secondary Intention Healing for Facial Skin and Soft Tissue Defects: Case Report and Review of Literature.

Shenzhen Gao, Qiqi Li, Baixue Lu, ZengYang Feng, Liying Tu, Weicheng Gao

Abstract readCase ReportsSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shenzhen Gao *Department of Plastic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, No.146, Han-zhong Road, Nanjing, 210029, Jiangsu, China.
Qiqi Li *Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Baixue LuDepartment of Plastic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, No.146, Han-zhong Road, Nanjing, 210029, Jiangsu, China.
ZengYang FengDepartment of Plastic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, No.146, Han-zhong Road, Nanjing, 210029, Jiangsu, China.
Liying TuDepartment of Plastic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, No.146, Han-zhong Road, Nanjing, 210029, Jiangsu, China.
Weicheng GaoDepartment of Plastic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, No.146, Han-zhong Road, Nanjing, 210029, Jiangsu, China. gaoweicheng9@163.com.ORCID http://orcid.org/0009-0009-4967-4317

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious surgical techniques are available for facial skin and soft tissue defect repair, with flap reconstruction being the current mainstream choice. Secondary intention healing (SIH) has re-emerged as a viable option with unique advantages, yet its standardized clinical application criteria and up-to-date evidence base remain to be systematically summarized.

methodsWe performed a systematic literature review of studies on SIH for facial defect repair, with predefined search strategies, inclusion and exclusion criteria across PubMed, Embase, Cochrane Library, and Web of Science from database inception to December 2025. Concurrently, we presented a case series of 3 patients who underwent SIH for facial tumor resection defects at our institution, with detailed clinical data and long-term follow-up outcomes.

resultsA total of 37 eligible clinical studies were included in the final review. The evidence confirmed that SIH achieves excellent cosmetic and functional outcomes in concave facial subunits (NEET areas), with satisfactory results in FAIR areas for appropriately sized defects. The procedure offers the advantages of no auxiliary incisions, simple operation, low cost, and the ability to monitor tumor recurrence in strictly selected cases. Our case series further validated the favorable outcomes of SIH in nasal sidewall, periocular, and cheek defects, with complete re-epithelialization within 7-10 days and no severe complications during follow-up.

conclusionFor properly selected small-to-medium facial skin and soft tissue defects, SIH is a straightforward, safe, well-tolerated, and cost-effective repair modality. This review and case series provide updated evidence and clinical decision-making references for the application of SIH in facial defect reconstruction. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Facial NeoplasmsPlastic Surgery ProceduresSkin NeoplasmsSurgical FlapsWound HealingAdultEstheticsFemaleHumansMaleMiddle AgedTreatment OutcomeFacial defectSecondary intention healingWound healingWound repair

Identifiers

PMID42020561

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.