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Negative-Pressure Therapy for Pre-and Post-grafting after Wide Extirpation Excision of Melanoma of the Toe

 Jong Hoon Kim  ;  Mi Ryung Roh  ;  Kyoung Ae Nam  ;  Hyun Joong Jee  ;  Hoon Bum Lee  ;  Kee Yang Chung 
 Korean Journal of Dermatology (대한피부과학회지), Vol.51(1) : 65-68, 2013 
Journal Title
 Korean Journal of Dermatology  (대한피부과학회지) 
Issue Date
Surgical management of acral lentiginous melanoma on the toe poses a difficult challenge because of the lack of surrounding tissue. A full-thickness skin graft after excision may provide a good cosmetic outcome, but graft failure can occur due to limited blood flow of the toe and the thin skin covering over the deep fascia in the pressure bearing area may cause gait disturbance. A negative-pressure device can be beneficial for fixing the graft and stimulating the growth of granulation tissue. A 55-year-old woman diagnosed with malignant melanoma on the right third toe underwent wide excision, after which secondary intention healing was initiated using negative-pressure therapy. When the wound had regenerated enough granulation tissue after 2 weeks, a full-thickness skin graft was performed, which was secured with negative-pressure therapy. The graft was successfully taken after a week thereafter. Accordingly, the use of negative-pressure therapy in the surgical management of acral lentiginous melanoma may be a good option because it facilitates full-thickness skin graft survival in an avascular surface area and aids in the thickening of the pressure bearing area, where acral lentiginous melanoma is likely to occur.
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1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
김종훈(Kim, Jong Hoon) ORCID logo https://orcid.org/0000-0002-3385-8180
노미령(Roh, Mi Ryung) ORCID logo https://orcid.org/0000-0002-6285-2490
이훈범(Lee, Hoon Bum)
정기양(Chung, Kee Yang) ORCID logo https://orcid.org/0000-0003-3257-0297
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