Reconstructive surgery following skin tumor resection can be challenging. Treatment options after removing the tumor are skin\ngrafting, local pedicled and axial flaps, or microsurgery for complex and extensive wounds correction. Recently, the use of dermal\nsubstitutes has been extended to reconstructive surgery in cutaneous oncology. Objectives. To report both a single-center experience\nusing dermal substitutes in reconstructive surgery for skin malignancies and reconstructive surgery�s outcomes. Methods and\nResults. Among thirteen patients, seven (53.8%) were male with mean age of 62.6 years. Regarding diagnosis, there were five cases\n(38.5%) of basal cell carcinoma (BCC), two (15.4%) of melanoma in situ, two (15.4%) of dermatofibrosarcoma protuberans, one\n(7.7%) of squamous cell carcinoma(SCC), one (7.7%) of angiosarcoma, and one (7.7%) of eccrine carcinoma(EC).Themost common\nsite of injury was scalp (53.8%) and lower limbs (23.1%). Seven (53.8%) patients used NPWT and six (46.2%) patients underwent\nBrown�s dressing.The most frequent complication of the first stage waswound contamination (38.5%). Average time to second-stage\nskin grafting was 43.9 days. Three (23%) patients developed tumor recurrence and one died. Conclusions. Use of dermal substitutes\nin oncology can be an option for reconstruction after extended resections, providing good aesthetical and functional results.
Loading....