A recurrence-tolerant strategy for epidermolysis bullosa-related pseudosyndactyly: A microscope-assisted minimally invasive approach.

An 8-year-old boy with recessive dystrophic epidermolysis bullosa (recessive dystrophic EB) presented with advanced pseudosyndactyly.

Engraftment of the cultured epidermis was confirmed on postoperative day 4.

Complete epithelialization was achieved within 3 weeks, after which rehabilitation was initiated.

Given the potential risk of recurrence in epidermolysis bullosa-related pseudosyndactyly, our surgical concept prioritizes repeatability in the event of contracture recurrence.