Scalp reconstruction with expanded flap

Kaam, Daniel Nowicki; Nepomuceno, André Coelho; Da-Silva, Larissa Cassemiro; Aquino, José Luiz Braga de; Staut, Juliana Gulelmo; Morano, Fernando Giovanetti; Pereira, Juliano; Gimenez, Rodrigo Pinto

doi:10.5935/2177-1235.2021rbcp0018

Cited by 1 publication

(3 citation statements)

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“…The causes of injuries to the scalp and frontal region are usually acquired (trauma and burns, infections, tumor, iatrogenic resections, and primary scarring alopecias) [1, 4]. Erosive pustular dermatosis of the scalp is a rare form of cicatricial alopecia clinically characterized by a chronic eruption of scalp pustules, erosions, and crusts with chronic course.…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…1a). The condition started after coronal rhytidoplasty 2 years before and evolved with extensive scarring alopecia [1]. Previous treatments with antibiotics and antifungals were not successful, and prednisone 40 mg/day and topical tacrolimus were started, associated with a frequent change of dressings.…”

Section: Case Report/case Presentationmentioning

confidence: 99%

“…Skin defects involving the frontal region and anterior hairline of the scalp can result from congenital or acquired conditions. The negative esthetic impact can cause disturbances in the psychic and social sphere of the patient, causing problems in interpersonal relationships and in the body image itself [1].…”

Section: Introduction/literature Reviewmentioning

confidence: 99%

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Reconstruction of Scalp Anterior Hairline with Tissue Expansion and Skin Flap

Ferreira

Contin

Rocha

et al. 2021

Skin Appendage Disord

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Introduction: Cutaneous defects involving the frontal region and anterior hairline of the scalp can result from congenital or acquired conditions. The negative esthetic impact can cause disturbances in the psychic and social sphere of the patient, causing problems in interpersonal relationships and in the body image itself. The use of skin expanders is usually effective in this region due to the bone base providing support and stability for its use. Case Report: We describe the case of a 64-year-old woman submitted to reconstruction of the anterior hairline of the scalp due to scar sequelae after coronal rhytidoplasty followed by pustular erosive dermatosis. We used tissue expansion (50 mL of saline per week until it reached 300 mL) and advancement flap. Discussion/Conclusion: Scalp reconstruction also includes vascularized soft tissue coverage, acceptable cosmetic appearance, and minimal morbidity for the donor area. The correction of scalp scars must obey 2 basic principles: tissue similarity and natural capillary pattern (direction, angle, capillary growth, and proper capillary line design). Tissue expansion and skin flap techniques can successfully correct defects in extensive scarring alopecia such as in the presented case.

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Section: Discussion/conclusionmentioning

confidence: 99%

Section: Case Report/case Presentationmentioning

confidence: 99%