Luiz Gustavo Cruz, Vania Declair Cohen

1. Dr Luiz Gustavo Balaguer Cruz
Hospital 9 de Julho – São Paulo – Brazil
Dra Vania Declair Cohen

2.  Introduction: The dermal substitutes are
considered one of the most innovative
technologies for health treatments. First of all,
dermal substitutes were used for burns patients
to avoid the formation of scar tissue and
contraction. With the acquired experience by the
medical community it started to be used for
different purposes in the wound treatment and
reconstructive surgeries.
 Aim: The aim of the study is to present 21 cases
(most of the cases are critical condition
patients); where we used dermal substitutes for
treatment of lower and upper limb ulcers and
dermatological diseases

3.  Method: We present the treatment using
different dermal substitutes. The wounds
were from different etiologies as:
diabetics, vascular and traumatic ulcers.
There are also application for two
dermatological disease hidradenitis
suppurativa and rhinophyma both diseases
with high rate of recurrence in the
literature and no treatment considered
definitive.
 Result: We achieved good esthetic and
functional results in the cases of
reconstruction. We have no signs of
recurrence of hidradenitis suppurativa or
rhinophyma in our patients after a follow
up higher than two years.

5.  Conclusion: Dermal substitutes
are a great option for
reconstruction of ulcers with
difficult of healing.
Dermatological diseases with
dermal compromising can
achieve a definitive result using
it.