Utility of toe fillet flaps for reconstruct of the forefoot in cases of plantar melanoma

Houdek, Matthew T.; Honig, Rachel; Mallett, Katherine E.; Moran, Steven L.

doi:10.1002/jso.26348

Cited by 1 publication

(1 citation statement)

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“…High rates of local wound complications have been reported in weightbearing areas after skin graft reconstruction (15). Moreover, publications about local flap reconstruction in the literature lead the reader to consider flap choices (8,10). Controversially, we reconstruct all our defects with skin grafts in the same operation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Advanced Palmoplantar Melanoma

YEĞİN,

MAMMADOV,

İBRAHİMLİ

et al. 2023

Ege Tıp Dergisi

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Aim: Palmoplantar melanoma is a rare and aggressive subtype of malignant melanoma. Not like other subtypes, sunlight is not the primary etiologic factor. We aim to expand the knowledge on this rare and neglected malignant melanoma subtype and add our findings to the literature. Materials and Methods: Malignant Melanoma patients admitted to our hospital between 2008 and 2020 were retrospectively analyzed. Twenty-seven patients with plantar and one with palmar melanoma were identified and included in our study. Data about gender, age at the diagnosis, histopathological features, sentinel lymph node localization, performed surgeries, sentinel lymph node biopsy (SLNB) and regional lymph node dissection results, recurrence, survival time, primary tumor localization, and systemic metastases were collected. Results: 26 plantar and one palmar melanoma patients were operated on in this period. Six patients died during follow-up. Twenty-three patients were treated with wide excisions, and four were treated with amputations. The defect was reconstructed with a skin graft in all cases with excisions. In 6 patients with suspicious lymph nodes in the preoperative imaging, lymph node dissection was added to the treatment. Other patients had sentinel lymph node biopsies and continued with dissection if a metastatic node was encountered. Conclusion: Our findings are congruent with the current literature. Skin grafting may enhance the success of palmoplantar melanoma follow-up and demands attention.

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Section: Discussionmentioning

confidence: 99%