Volume 37, Issue 1 pp. E8-E11
Case Report

Reconstructive strategies for dermatofibrosarcomas of the face: Role of regenerative dermal templates

Leonardo Sartore MD

Leonardo Sartore MD

Clinic of Plastic Surgery, Department of Surgery, Padua University Hospital, University of Padua, Padova, Italy

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Dalla Venezia Erica MD

Dalla Venezia Erica MD

Clinic of Plastic Surgery, Department of Surgery, Padua University Hospital, University of Padua, Padova, Italy

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Alessandro Della Puppa MD

Alessandro Della Puppa MD

Department of Neurosurgery, Padua University Hospital, University of Padua, Padova, Italy

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Alberto Bedogni MD

Alberto Bedogni MD

Unit of Maxillofacial Surgery, Verona University Hospital, University of Verona, Verona, Italy

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Luca Campana MD

Luca Campana MD

Sarcoma and Melanoma Unit, Veneto Institute of Oncology (IOV-IRCCS), Padova, Italy

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Giorgio Giatsidis MD

Corresponding Author

Giorgio Giatsidis MD

Clinic of Plastic Surgery, Department of Surgery, Padua University Hospital, University of Padua, Padova, Italy

Corresponding author: G. Giatsidis, Clinic of Plastic Surgery, Padova University Hospital, Monoblocco Ospedaliero – 5th floor, 2, Via Giustiniani st., Padova, I-35100 Italy. E-mail: [email protected]Search for more papers by this author
First published: 12 May 2014
Citations: 6

Abstract

Background

Dermatofibrosarcomas protuberans is a challenging cutaneous tumor from an oncologic and reconstructive surgical point of view. Involvement of functionally and aesthetically sensitive areas, such as facial units, in young patients accounts for more demanding cases. An updated evaluation of most beneficial excisional/reconstructive strategies in these cases is still lacking.

Methods

We investigated the potential of regenerative dermal templates in staged postoncologic reconstructive management of a young woman affected by a dermatofibrosarcomas protuberans of the forehead involving the frontal bone.

Results

Final result was optimal in terms of cosmetic and functional recovery, obtaining a pliability, softness, and color similar to surrounding healthy skin.

Conclusion

In facial dermatofibrosarcomas protuberans, staged reconstruction with regenerative dermal templates provides a conservative yet safe and effective management, achieving optimal aesthetic outcomes. We suggest its adoption as first-line treatment in facial dermatofibrosarcomas protuberans that cannot be repaired by direct suture and in equivalent benign yet challenging cases. © 2014 Wiley Periodicals, Inc. Head Neck 37: E8–E11, 2015

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