scholarly journals A complex scalp resurfacing utilizing Integra® as temporary dressing in aplasia cutis congenita

2021 ◽  
Vol 9 (2) ◽  
pp. 229-234
Author(s):  
Pauline Yap ◽  
Nurul Syazana Mohamad Shah ◽  
Arman Zaharil Mat Saad ◽  
Wan Azman Wan Sulaiman ◽  
Siti Fatimah Noor Mat Johar
Keyword(s):  
Split Thickness Skin Graft ◽  
Dermal Substitute ◽  
Simple Method ◽  
Aplasia Cutis Congenita ◽  
Surgical Interventions ◽  
Thickness Skin ◽  
Organism Growth ◽  
Scalp Wound ◽  
Dura Defect ◽  
Aplasia Cutis

BACKGROUND: Aplasia cutis congenita is a rare newborn malformation characterized by focal absence of skin. It possesses difficulty in reconstruction surgery for neurosurgeons and plastic surgeons. We report a challenging case of aplasia cutis congenita who received treatment in our center. CLINICAL CASE: A 2-year-old boy, presented to Plastic and Reconstructive Surgery, Hospital USM, with bilateral vertex defect with encephalocele who received a series of surgical interventions since 1 month old. Unfortunately, he returned after 2 years with a chronic nonhealing scalp wound associated with dura defect and cerebral spinal fluid leakage. The wound was debrided and the swab culture result showed no organism growth. Part of the wound bed with dura defect was repaired using a small piece of transplanted fascia lata and Integra was applied. DISCUSSION: There is scarcity in the medical literature on the reconstructive technique of aplasia cutis congenita. In the case we described here, we successfully managed the wound with multiple application of dermal substitute (Integra) dressing with negative pressure wound therapy and split-thickness skin graft. CONCLUSIONS: Management of aplasia cutis congenita with skull defect remains a controversy. Its management varies depends on its pattern and underlying condition. We successfully develop a new simple method in treating scalp accutilizing Integra.

scholarly journals Aplasia Cutis Congenita: A Simple and Safe Management

2016 ◽  
Vol 23 (1) ◽  
pp. 1-8
Author(s):  
Yasir S. Jamal ◽  
Moaath Saggaf ◽  
Sabah S. Moshref ◽  
Mazen O. Kurdi ◽  
Bayan Ghabashi
Keyword(s):  
Superior Sagittal Sinus ◽  
Skin Grafting ◽  
Lower Limbs ◽  
University Hospital ◽  
Skin Defect ◽  
Aplasia Cutis Congenita ◽  
Sagittal Sinus ◽  
Thickness Skin ◽  
King Abdulaziz University ◽  
Aplasia Cutis

Aplasia cutis congenita is a rare disorder characterized by absence of the skin and skin appendages. The incidence ranges between 1:10,000 and 2.8:10,000. The management in the literature varies considerably between conservative management and surgery. A retrospective review of all the cases of aplasia cutis congenita was conducted from King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The study period was from January 2004 to December 2014. Data were collected using chart review and the pictures from plastic and pediatric surgery teams. Data were analyzed using simple descriptive statistics. A total of eight cases were recruited to the study. Average follow up was two years. Six lesions were located on the scalp and two were located on the lower limbs. Seven cases were managed conservatively and one case required full thickness skin grafting for a bleeding superior sagittal sinus. Only one death was documented, and was related to a syndrome. The management of aplasia cutis congenita is related to the defect size and depth. When surgery is indicated, skin grafting is a simple, safe and highly recommended choice of surgical management for the coverage of the skin defect and to control bleeding from underlying superior sagittal sinus in deep lesions.

scholarly journals Surgical treatment of Fournier’s Gangrene: debridement and coverage. Series of 7 cases

2021 ◽  
Vol 106 (106(812)) ◽  
pp. 38-43
Author(s):  
J. Cámara- Pérez ◽  
M.A. Rodríguez-Cano ◽  
J.A. Zapata-Negreiros ◽  
M. Ávila-Pérez ◽  
E. García-Hortelano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospital Stay ◽  
Skin Graft ◽  
Surgical Techniques ◽  
Severe Illness ◽  
Split Thickness Skin Graft ◽  
Surgical Interventions ◽  
Thickness Skin ◽  
Secondary Closure ◽  
Associated Risk Factors

Introduction: Fournier’s disease is a type of necrotizing fasciitis, which is quickly progressive and involves mainly the testicular, perineal and perianal areas. Its etiology is polymicrobial, being associated to multiple risk factors.Due to its complexity, its treatment comprises antibiotic therapy, as well as two surgical steps, including the first one various surgical interventions, which consist in aggressive debridement of the nonviable tissue, and a second step, in which the coverage of the resulting defect is undertaken, for which multiple surgical techniques are available, although it has not been clarified which one should be indicated. Objectives: To find out which surgical techniques are used for coverage in Fournier’s disease and the length of the hospital stay that each one associates, as well as the characteristics of the patients with this disease. Material and methods. We selected all the patients whose diagnosis was Gangrene Fournier when discharged form hospital, who also underwent surgical coverage of the resulting defect in the Department of Plastic and Reconstructive Surgery in Hospital Reina Sofía of Córdoba, Spain. From these patients, we recollected data about the coverage surgical technique undertaken, length of the hospital stay, demographic characteristics of the patients, associated risk factors, possible precipitating factors, as well as anatomical affected areas. Subsequently, absolute and relative frequencies were calculated. Results. Most patients were middle-advanced aged males. The perineal area was the most common affected one. The most usual risk factors were hypertension and smoking. The split-thickness skin graft was the coverage technique most frequently used. Conclusions. Fournier’s disease is potentially severe illness which requires a multidisciplinary approach, involving multiple surgical operations, as well as a long hospital stay. The coverage surgery presents high heterogeneity, being primary closure, secondary closure, split-thickness skin graft and fascio/musculocutaneous flap considered among the surgical techniques available.

scholarly journals Type VI Aplasia Cutis Congenita: Bart’s Syndrome

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ferit Kulalı ◽  
Ahmet Yagmur Bas ◽  
Yusuf Kale ◽  
Istemi Han Celik ◽  
Nihal Demirel ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Complete Healing ◽  
Aplasia Cutis Congenita ◽  
Surgical Interventions ◽  
Histologic Evaluation ◽  
Topical Antibacterial ◽  
Gauze Dressing ◽  
Aplasia Cutis

Bart’s syndrome is characterized by aplasia cutis congenita and epidermolysis bullosa. We present the case of a newborn male who developed blisters on the mucous membranes and the skin following congenital localized absence of skin. Bart’s syndrome (BS) is diagnosed clinically based on the disorder’s unique signs and symptoms but histologic evaluation of the skin can help to confirm the final diagnosis. The patient was managed conservatively with topical antibacterial ointment and wet gauze dressing. Periodic follow-up examinations showed complete healing. We emphasized that it is important to use relatively simple methods for optimal healing without the need for complex surgical interventions.

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