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Comparison of secondary intention healing and full-thickness skin graft after excision of acral lentiginous melanoma on foot

Authors
 JIN YOUNG JUNG  ;  HYO JIN ROH  ;  SOO HYUN LEE  ;  KYOUNGAE NAM  ;  KEE YANG CHUNG 
Citation
 DERMATOLOGIC SURGERY, Vol.37(9) : 1245-1251, 2011 
Journal Title
 DERMATOLOGIC SURGERY 
ISSN
 1076-0512 
Issue Date
2011
MeSH
Adult ; Aged ; Aged, 80 and over ; Female ; Foot/surgery* ; Humans ; Hutchinson's Melanotic Freckle/surgery* ; Male ; Middle Aged ; Recovery of Function ; Republic of Korea ; Retrospective Studies ; Skin Neoplasms/surgery* ; Skin Transplantation* ; Statistics, Nonparametric ; Treatment Outcome ; Wound Healing*
Abstract
BACKGROUND : Melanoma in dark-skinned individuals often develops in an acral lentiginous fashion on the foot. After wide excision, substantial defects usually develop and they may endure insufficient vascular flow. In addition, the final scar must withstand the mechanical stress of daily walking. Various repair methods are used to repair these defects, but secondary intention healing has not been evaluated in the repair of wounds of the foot. OBJECTIVE : To compare the functional and cosmetic results of secondary intention healing and full-thickness skin graft after wide excision of melanoma on the foot. METHODS : Retrospective review of 25 patients who were treated using excision for melanoma on the foot. The defects of 13 patients were healed by secondary intention (secondary intention healing group; SIHG), and those of 12 patients were repaired by full-thickness skin graft (skin graft group; SGG). RESULTS : The SGG showed more rapid healing than the SIHG, but the SIHG showed better functional and cosmetic outcomes at complete re-epithelialization than the SGG as evaluated by patients and independent physicians. CONCLUSIONS : Secondary intention healing after excision of melanoma from the foot is a therapeutic option with acceptable functional and cosmetic outcomes.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00042728-201109000-00005&LSLINK=80&D=ovft
DOI
10.1111/j.1524-4725.2011.02043.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kyoung Ae(남경애)
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158233
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