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CASE REPORT • An. Bras. Dermatol. 96 (6) • Nov-Dec 2021 • https://doi.org/10.1016/j.abd.2020.08.026   copy

Dermal substitutes: an alternative for the reconstruction of large full-thickness defects in the plantar surface☆ ☆ How to cite this article: Rodríguez-Lomba E, Lozano-Masdemont B, Sánchez-Herrero A, Avilés-Izquierdo JA. Dermal substitutes: an alternative for the reconstruction of large full-thickness defects in the plantar surface. An Bras Dermatol. 2021;96:717–20. ,☆☆ ☆☆ Study conducted at the Hospital General Universitario Gregorio Marañon, Madrid, Spain.

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Abstract

Large defects in plantar surface secondary to acral melanoma excision can be difficult to repair with local flaps, and skin grafts in weight-bearing surfaces often suffer necrosis causing prolonged disability. Acellular dermal matrices represent an easy alternative to cover deep wounds or those with bone or tendon exposure. Despite their high cost and the requirement of two surgical procedures, this alternative may offer excellent functional and aesthetic results in acral defects.

KEYWORDS
Acellular dermis; Melanoma; Skin; artificial

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