Closure of Complicated Wounds Workup
- Author: Erik A Hoy, MD; Chief Editor: William D James, MD more...
Laboratory studies are not required in the vast majority of wound closure settings, but in cases of complex wounds or chronic/nonhealing wounds, they may aid the surgeon in tailoring treatment. Nutrition laboratory studies, including albumin and prealbumin levels, can indicate if the patient is appropriately nurished and able to heal the wound. Zinc or iron deficiencies, along with other mineral deficiencies, can prolong or inhibit the wound healing process altogether. Similarly, deficiencies in vitamin C, D, and other key vitamins can prevent a patient's wounds from properly healing. In select patients, a preoperative nutritional workup may be warranted.
Burget GC, Menick FJ. The subunit principle in nasal reconstruction. Plast Reconstr Surg. 1985 Aug. 76(2):239-47. [Medline].
Burget GC, Menick FJ. Aesthetic reconstruction of the nose. St. Louis, Mo: Mosby Year-Book; 1994.
Menick FJ. A 10-year experience in nasal reconstruction with the three-stage forehead flap. Plast Reconstr Surg. 2002 May. 109(6):1839-55; discussion 1856-61. [Medline].
Menick FJ. Facial reconstruction with local and distant tissue: the interface of aesthetic and reconstructive surgery. Plast Reconstr Surg. 1998 Oct. 102(5):1424-33. [Medline].
Tschoi M, Hoy EA, Granick MS. Skin flaps. Clin Plast Surg. 2005 Apr. 32(2):261-73. [Medline].
Pribaz JJ. Master's Panel: Moh’s Reconstruction. Northeastern Society of Plastic Surgeons, 3rd Annual Workshop. March 7th, 2009;
Omidi M, Granick MS. The versatile V-Y flap for facial reconstruction. Dermatol Surg. 2004 Mar. 30(3):415-20. [Medline].
Attinger CE, Janis JE, Steinberg J, Schwartz J, Al-Attar A, Couch K. Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants. Plast Reconstr Surg. 2006 Jun. 117(7 Suppl):72S-109S. [Medline].
American Medical Association. Current Procedural Terminology: CPT 2011. Chicago, Ill: AMA Publications; 2011.
Devansh S. Neo-flaps for facial reconstruction: can we create the desired thin-skin flaps?. Plast Reconstr Surg. 1998 Oct. 102(5):1633-8. [Medline].
Fisher J, Gingrass MK. Basic principles of skin flaps. Georgiade GS, Levin LS, Riefkohn R, eds. Georgiade Plastic, Maxillofacial and Reconstructive Surgery. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 1996.
Jackson IT. Local Flaps in Head and Neck Reconstruction. Chicago, Ill: Quality Medical Publishing; 1985.
Place MJ, Herber SC, Hardesty RA. Basic Techniques and Principles in Plastic Surgery. Aston SJ, Beasley RW, Thorne CHM, eds. Grabb & Smith's Plastic Surgery. 5th ed. Philadelphia, Pa: Lippincott-Raven; 1997.
Schrudde J, Beinhoff U. Reconstruction of the face by means of the angle-rotation flap. Aesthetic Plast Surg. 1987. 11(1):15-22. [Medline].
Tuncer S, Celik M, Emekli U, Kesim SN. Subcutaneous bipedicle island flaps on the face. Plast Reconstr Surg. 2001 Jan. 107(1):148-51. [Medline].