{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T02:31:59Z","timestamp":1787538719655,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>\u00a0Eyelid reconstruction following tumor excision poses both functional and aesthetic challenges. Although complex surgical techniques are frequently employed, secondary intention healing remains a less commonly used option in periorbital surgery. This case series aimed to assess the functional and aesthetic outcomes in patients with eyelid defects treated with the laissez\u2010faire approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>\u00a0A retrospective analysis was conducted of six patients with post\u2010excisional eyelid defects who underwent secondary intention healing at the Department of Dermatology, Klinikum Ludwigshafen, between 2016 and 2024. Healing time, complications, functional and aesthetic outcomes were assessed after at least 6 weeks or 6 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\u00a0The average patient age was 77\u00a0years. The indication for surgery was basal cell carcinoma or melanoma. The mean healing time was 6 weeks. All patients achieved good to excellent functional and aesthetic outcomes. Nearly no ocular\u2010specific complications were observed. Secondary intention healing was well\u2010tolerated by all patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\u00a0Secondary intention healing is a safe and effective alternative to complex reconstructive techniques for selected periorbital defects, particularly in elderly patients. The choice of reconstruction should be tailored individually, taking into account patient age, health status, defect characteristics, and patient preferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ddg.70320","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:51:49Z","timestamp":1781243509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Underrated yet effective: Secondary intention healing of eyelid defects in elderly patients"],"prefix":"10.1111","author":[{"given":"Verena","family":"Maikranz","sequence":"first","affiliation":[{"name":"Department of Dermatology Klinikum Ludwigshafen  Rhein Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4433-2387","authenticated-orcid":false,"given":"Edgar","family":"Dippel","sequence":"additional","affiliation":[{"name":"Department of Dermatology Klinikum Ludwigshafen  Rhein Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7028-3446","authenticated-orcid":false,"given":"Christoph","family":"L\u00f6ser","sequence":"additional","affiliation":[{"name":"Department of Dermatology Klinikum Ludwigshafen  Rhein Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1177\/11206721221125018","article-title":"The epidemiology of adults\u2019 eyelid malignancies in Germany between 2009 and 2015; An analysis of 42,710 patients\u2019 data","volume":"33","author":"Alfaar AS","year":"2023","journal-title":"Eur J Ophthalmol"},{"issue":"4","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"414","DOI":"10.22336\/rjo.2020.64","article-title":"Reconstruction of lower eyelid defects after the excision of basal cell 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