Reverse dermis graft: a versatile technic

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

“…12 Thus the reversed dermal graft is the appropriate technique to cover large defects, which are a limitation for reconstruction by full-thickness skin grafts and ran-domized or local flaps. The graft can be used to cover areas with poor blood supply.…”

“…12,14 The reconstructed defect should be kept moist. Using the meshed reversed dermal graft, even vast defects can be managed without postoperative functional impairment, and the recommended surgical margins can be realized and the risk of a local relapse can be minimized.…”

“…Reversal of the dermal graft brings these vessels into contact with the capillary network of the recipient site and allows a sufficient blood supply. 12 Thus the reversed dermal graft is the appropriate technique to cover large defects, which are a limitation for reconstruction by full-thickness skin grafts and ran-domized or local flaps. By meshing the dermal graft the size of the donor area can be reduced.…”

“…This is due to degeneration of the sebaceous glands 2-8 weeks after the operation. 12,14 The reconstructed defect should be kept moist. We have not seen complications resulting in development of epithelial cysts in the dermal graft.…”

“…We have not seen complications resulting in development of epithelial cysts in the dermal graft. 12,14 The meshed reversed dermal graft as a reconstruction technique for vast defects of the sole or scalp combines high survival rates despite poor blood supply with optimal functional long-term results.…”