Eur J Plast Surg (2010) 33:57 DOI 10.1007/s00238-009-0374-z LETTER TO THE EDITOR Fabrizio Schonauer & Guido Molea Received: 21 October 2009 /Accepted: 12 November 2009 /Published online: 4 December 2009 # Springer-Verlag 2009 Sir, Fig. 3 Case 1: defect direct closure We just read the case report entitled” Extensive scrotal calcinosis” by Demirdover et al.  and would like to share with the authors and the Journal's readers our clinical experience on the subject. Scrotal calcinosis is a rare condition usually found in young male patients [2–4]. Fig. 1 Case 1: extensive scrotal calcinosis We have treated three patients in the last 5 years for scrotal calcinosis; age range, 19–42. The technique we used was very similar to that described by Demirdover et al. consisting in excision of the affected scrotal tissue and direct closure [1, 5]. We have found it useful to pre-plan the extensive scrotal skin excision (Fig. 1)withaWplastydesign(Fig. 2)tointerrupt Fig. 2 Case 1: preplanning with W plasty design the final scar (Fig. 3). Our three patients healed uneventfully. In case of a recurrence, which we did not have, we would probably advise defect reconstruction with skin grafts. References 1. Demirdover C, Ozkan HS, Sahin B (2009) Extensive scrotal calcinosis. Eur J Plast Surg (in press) 2. Akosa AB, Gilliland EA, Ali MH, Khoo CT (1989) Idiopathic scrotal calcinosis: a possible aetiology reaffirmed. Br J Plast Surg 42(3):324–327 3. Demir Y, Latifoğlu O, Yenidünya S, Celebi C (2000) Idiopathic calcinosis of the scrotum. Ann Plast Surg 45(2):223–224 4. Gi N, Gupta AK, Sachi K, Thomas S (2008) Idiopathic scrotal calcinosis—a pedunculated rare variant. J Plast Reconstr Aesthet Surg 61(4):466–467 F. Schonauer G. Molea (*) 5. Theuvenet WJ, Nolthenius-Puylaert T, Giedrojc Juraha ZL, Borghouts University of Naples “Federico II”, JM, van Twisk R (1984) Massive deformation of the scrotal wall by Naples, Italy idiopathic calcinosis of the scrotum. Plast Reconstr Surg 74(4):539–543 e-mail: email@example.com
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2010
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