# Balancing secondary intention and reconstruction in nail apparatus melanoma: Plastic surgery insight from a case serie

## TL;DR

This paper discusses surgical approaches for treating nail apparatus melanoma, comparing healing times and outcomes of different methods.

## Contribution

The study provides new insights into using local flaps and perforator flaps for better functional and cosmetic outcomes.

## Key findings

- Secondary intention healing is an option but has long healing times and unpredictable results.
- Local flaps or dermal substitutes offer faster healing and better outcomes.
- Perforator flaps improve comfort and long-term functional results.

## Abstract

•Secondary intention healing remains an option for nail apparatus melanoma.•Healing time is long and cosmetic results can be unpredictable.•Local flaps or dermal substitutes allow faster healing and better outcomes.•Perforator flaps can improve comfort and long-term functional results.

Secondary intention healing remains an option for nail apparatus melanoma.

Healing time is long and cosmetic results can be unpredictable.

Local flaps or dermal substitutes allow faster healing and better outcomes.

Perforator flaps can improve comfort and long-term functional results.