Plantar Reconstruction Using a Dermal Substitute: Description of 2 Cases

• Published in: International 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
• Language: English
• 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
• DOI: 10.1177/1534734618782830

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.