More good workThis patient underwent a two-staged surgical...

More good work

This patient underwent a two-staged surgical approach that adhered to the four pillars of oncological reconstruction: clearance,form, function, and patient satisfaction. The delayed diagnosis resulted in significant growth of the BCC, rendering primary closure after wide local excision impractical. Initially, a biodegradable temporizing matrix (BTM) was applied over the wound bed. The BTM acted as a temporary, synthetic skin, promoting neovascularization and tissue regeneration to optimize wound bed preparation for the subsequent integration of a split-thickness skin graft (SSG) [21]. The choice of an SSG over a full thickness skin graft was preferred due to its larger surface area for wound coverage, reducing the risk of graft contracture, and facilitating faster functional restoration. Other treatments for BCC on the foot are Mohs surgery, radiotherapy, and amputation, depending on the extent and invasion of the skin cancer. Recent prospective studies have explored the benefits of applying BTM in the reconstruction of diabetic foot wounds, reducing the need for more complex reconstructive surgeries like free flaps [21, 22].

https://academic.oup.com/jscr/article/2024/2/rjae028/7607173