Aplasia cutis of the scalp: a report of two cases

Aplasia cutis of the scalp: a report of two cases Congenital absence of skin is rare; it usually presents in the midline over the vertex of the skull. There may be a lack of skin only, but a defect in the skull, with or without dura, may also be present. Two cases of congenital scalp defect have been treated. A male neonate was seen on the day of birth and the soft tissue defect was closed by a rotation flap. A female baby of 2 months was seen for recurrent episodes of severe wound infection and profuse bleeding. The infection could only be sufficiently treated after coverage of the soft tissue defect with a scalp flap. Scalp defects should be treated operatively in cases where spontaneous epithelization from the edges of the wound cannot be expected to be complete within a few weeks. Skin defects wider than 1 cm. should preferably be covered by scalp flaps. Bony defects should always be covered by skin flaps or grafts. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Aplasia cutis of the scalp: a report of two cases

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Publisher
Springer Journals
Copyright
Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050262
Publisher site
See Article on Publisher Site

Abstract

Congenital absence of skin is rare; it usually presents in the midline over the vertex of the skull. There may be a lack of skin only, but a defect in the skull, with or without dura, may also be present. Two cases of congenital scalp defect have been treated. A male neonate was seen on the day of birth and the soft tissue defect was closed by a rotation flap. A female baby of 2 months was seen for recurrent episodes of severe wound infection and profuse bleeding. The infection could only be sufficiently treated after coverage of the soft tissue defect with a scalp flap. Scalp defects should be treated operatively in cases where spontaneous epithelization from the edges of the wound cannot be expected to be complete within a few weeks. Skin defects wider than 1 cm. should preferably be covered by scalp flaps. Bony defects should always be covered by skin flaps or grafts.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: May 22, 2000

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