Plantar Reconstruction Using a Dermal Substitute: Description of 2 Cases

Acral lentiginous melanoma is the most common subtype among melanomas on the foot. Reconstruction of a wide surgical defect once it is excised may result in a challenge that requires replacing the lost tissue with another tissue having similarly unique physical characteristics. Although reconstructi...

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Bibliographic Details
Published inInternational journal of lower extremity wounds Vol. 17; no. 2; p. 120
Main Authors Iglesias-Puzas, Álvaro, González-Sixto, Beatriz, Feal-Cortizas, J Carlos, Abalde-Pintos, M Teresa, Flórez, Ángeles
Format Journal Article
LanguageEnglish
Published United States 01.06.2018
Subjects
Aged
Aged, 80 and over
Dermatologic Surgical Procedures - methods
Heel - pathology
Heel - surgery
Humans
Male
Melanoma - pathology
Melanoma - surgery
Melanoma, Cutaneous Malignant
Neoplasm Staging
Plastic Surgery Procedures - methods
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Skin, Artificial
Treatment Outcome
Wound Closure Techniques
plantar reconstruction
acral lentiginous melanoma
dermal substitute
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Summary:Acral lentiginous melanoma is the most common subtype among melanomas on the foot. Reconstruction of a wide surgical defect once it is excised may result in a challenge that requires replacing the lost tissue with another tissue having similarly unique physical characteristics. Although reconstructive options such as skin grafts and either local or distant flaps offer adequate coverage, they often are subject of contraction, muscle atrophy, and contour abnormalities. Dermal substitutes provide support and structure and recreates the dermal layer to ensure a durable reconstruction. We report 2 cases of plantar melanoma in which adequate reconstruction was achieved using a dermal substitute.
ISSN:1552-6941
DOI:10.1177/1534734618782830