Treatment of Aplasia Cuti Congenita Using Allogenic Dermal matrix and Cultured Epithelial Autograft: A Case Report

동종사체진피와 배양한 자가상피세포를 이용한 선천성 피부 형성 부전증 환자의 치험례

  • Lee, Jin Hwa (Department of plastic and Reconstructive Surgery, College of Medicine, Inje University) ;
  • Kim, Yong Kyu (Department of plastic and Reconstructive Surgery, College of Medicine, Inje University) ;
  • Lee, Sang Joon (Department of plastic and Reconstructive Surgery, College of Medicine, Inje University)
  • 이진화 (인제대학교 의과대학 일산백병원 성형외과학교실) ;
  • 김용규 (인제대학교 의과대학 일산백병원 성형외과학교실) ;
  • 이상준 (인제대학교 의과대학 일산백병원 성형외과학교실)
  • Received : 2006.02.24
  • Published : 2006.09.10

Abstract

Purpose: The purpose of this study is to document the surgical methods used in infants with aplasia cutis congenita treated with allogenic dermal matrix and cultured epithelial autografts. Methods: The large defects in both lower legs were replaced with allogenic dermal matrix to avoid the postoperative hypertrophic scar contracture and a full-thickness skin biopsy was taken from right groin area simultaneously. We sent the specimen to a commercial laboratory for culture and obtained cultured epithelial autografts($Holoderm^{(R)}$) after 2 weeks, placed it over the allogenic dermal matrix. Results: The skin-defected area were nearly epithelialized after 2 weeks and there were no significant problem on during 6 months follow-up. Conclusion: The surgical method using allogenic dermal matrix and cultured epithelial autograft provided an excellent coverage of large skin defects of infant with aplasia cutis congenita.

Keywords

References

  1. Kim HS, Hwang SJ, Kim CH, Kim DC Park HR: Aplasia cutis congenita: a case report. J Korean Soc Plast Reconstr Surg 21: 365, 1994
  2. Frieden IJ: Aplasia cutis congenita: a clinical review and proposal for classification. J Am Acad Dennatol 14: 646, 1986
  3. Vinocur CD, Weintraub WH, Wilensky RJ, Coran AG, Dingman RO: Surgical management of aplasia cutis congenita. Arch Surg 111: 1160, 1976
  4. Lee JY, Yoo G, Chung SH, Wee 55: Conservative treatment with silicone gel sheet of aplasia cutis congenita-case reports. J Korean Soc Plast Reconstr Surg 30: 501, 2003
  5. Yanaga H, Udoh Y, Yamauchi T, Yamamoto M, Kiyokawa K, Inoue Y, Tai Y: Cryopreserved cultured epidermal allografts achieved early closure of wounds and reduced scar formation in deep partial-thickness burn wounds (DDB) and split-thickness skin donor sites of pediatric patients. Bums 27: 689, 2001
  6. Carolyn C: Cultured epithelial autografts for burn wound resurfacing: review of observations from an 11-year biopsy study. Wounds: A Compendium of Clinical Research and Practice 8: 125, 1996
  7. Lee DH, Han DW, Baik BS: Histologic changes of various artificial dermis graft in rabbit. J Korean Soc Plast Reconstr Surg 27: 550, 2000
  8. Guerra L, Capurro S, Melchi F, Primavera G, Bondanza S, Cancedda R, Luci A, De Luca M, Pellegrini G: Treatment of 'stable' vitiligo by timedsurgery and transplantation of cultured epidermal autografts. Arch Dennatol 136: 1380, 2000