Repair of wide coup de sabre without cutaneous excision by means of pericranial-galeal padding flap |
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Authors: | Danino A M Ichinose M Yoshimoto S Wako M Servant J M |
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Institution: | Department of Plastic and Reconstructive Surgery, Chiba University Hospital, Japan. |
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Abstract: | A case of double linear scleroderma of the forehead (coup de sabre) is described. The histopathology of this rare lesion is now well known with a normal epidermis and a sclerotic dermis. The correction was done with an original two-stage procedure: the lesion with alopecia was first treated by excision-suture and a transfer of the involved subcutaneous tissue along the right inner canthus; 1 year later, by a hemicoronal incision, we transferred a galeal-pericranial flap beneath the wider forehead lesion. We think that the use of a filling flap to correct wide coup de sabre lesions without cutaneous excision can be a simple alternative to the classic treatment by complete excision and flap reconstruction. The subcutaneous fascial system of the scalp can provide a good donor site with minimal morbidity. |
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