Meshed Reversed Dermal Graft in Patients with Surgical Defects of Sole and Scalp: Technique and Long-term Results

Background: Defects of the sole and the scalp require a reconstruction technique that combines a high survival rate in poorly vascularized areas with maximal mechanical strain.

Objective: To describe the technique of the meshed reversed dermal graft for reconstruction and to summarize the postoperative and long-term results.

Methods: Twenty-one patients have undergone reconstruction of defects following excision of acral lentiginous melanoma of the sole or squamous cell carcinoma of the sole or scalp. One patient had undergone covering of a perforating ulcer of the foot.

Results: In 19 of the 21 patients the meshed reversed dermal graft survived without complications. Of the patients who had undergone successful reconstruction, 14 patients were reinterviewed: 13 reported on excellent functional and satisfying cosmetic results.

Conclusion: The meshed reversed dermal graft is an appropriate technique for reconstruction of large defects of the sole or scalp because of its high survival rate and excellent long-term functional results.