EDWARD W.COWENMD, MHScMURADALAMMDWILLIAM D.AUGHENBAUGHMD
Surgical repair of excisional defects in severely atrophic skin or skin under tension can present several challenges to cutaneous surgeons.
A 58-year-old man with a history of renal transplantation and severely atrophic skin induced by long-term prednisone therapy presented for primary closure of a surgical defect after excision of a 1.8-cm squamous cell carcinoma of the right forearm.
A 74-year-old woman with a 2.0-cm-diameter surgical defect on her right calf presented for primary surgical closure of the wound after removal of a squamous cell carcinoma. It was noted that the wound would be under considerable tension at closure.
Knoell KA. The Lattice Stitch Technique. Arch Dermatol. 2011;147(1):17-20. doi:10.1001/archdermatol.2010.235