Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

A surgical approach to linear scleroderma using Medpor and dermal fat graft

  • Kim, Keun Tae (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine) ;
  • Chung, Eui Han (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine)
  • Received : 2018.06.15
  • Accepted : 2018.08.06
  • Published : 2019.04.20
Download PDF
⟨ Previous Next ⟩

Abstract

Linear scleroderma en coup de sabre (LScs) is a variant of localized scleroderma. This disease typically occurs in patients in their 20s or younger individuals and predominantly occurs in the forehead area. A 26-year-old man with linear scleroderma was surgically treated at our center with Medpor (porous polyethylene) and dermal fat graft for the forehead lesion. After 26 months of postoperative follow-up, the depressed lesion that appeared scarred as well as the margins improved significantly. The surgical treatment of LScs using Medpor and dermal fat graft is an effective treatment modality that can increase patient satisfaction.

Keywords

References

  1. Kimmel HL. Hemifacial atrophy. In: Rodriguez ED, Neligan PC, Losee JE, editors. Plastic surgery. 4th ed. Philadelphia: Saunders-Elsevier Health Sciences; 2017. p. 1012-4.
  2. Careta MF, Romiti R. Localized scleroderma: clinical spectrum and therapeutic update. An Bras Dermatol 2015;90:62-73. https://doi.org/10.1590/abd1806-4841.20152890
  3. McKenna DB, Benton EC. A tri-linear pattern of scleroderma 'en coup de sabre' following Blaschko's lines. Clin Exp Dermatol 1999;24:467-8. https://doi.org/10.1046/j.1365-2230.1999.00535.x
  4. Hwang DY, Paik HW, Byeon JH. Correction of facial linear scleroderma 'coup de sabre' with BoneSource. J Plast Reconstr Aesthet Surg 2009;62:e25-8. https://doi.org/10.1016/j.bjps.2007.12.019
  5. Barin EZ, Cinal H, Cakmak MA, Tan O. Treatment of linear scleroderma (en coup de sabre) with dermal fat grafting. J Cutan Med Surg 2016;20:269-71. https://doi.org/10.1177/1203475415624912
  6. Thareja SK, Sadhwani D, Alan Fenske N. En coup de sabre morphea treated with hyaluronic acid filler: report of a case and review of the literature. Int J Dermatol 2015;54:823-6. https://doi.org/10.1111/ijd.12108
  7. Park SW, Wang HY. Survival of grafts in coup de sabre. Dermatol Surg 2002;28:763-6. https://doi.org/10.1097/00042728-200208000-00025

Cited by

  1. Flap Reconstruction for Treatment of Pediatric Linear Scleroderma vol.87, pp.5, 2019, https://doi.org/10.1097/sap.0000000000002887
  2. Nasal and Oral Subunits Reconstruction of Localized Scleroderma Deformities vol.32, pp.6, 2019, https://doi.org/10.1097/scs.0000000000007553
  3. Therapeutic and Reconstructive Management Options in Scleroderma (Morphea) en Coup de Sabre in Children and Adults. A Systematic Literature Review vol.10, pp.19, 2019, https://doi.org/10.3390/jcm10194517