title: Aplasia cutis congenita of the scalp: issues in its management.
abstract: Two cases of aplasia cutis congenita with associated bony defects are presented to highlight the dangers of delayed coverage of exposed dura. Management of one case was complicated by repeated local and systemic sepsis and the other by repeated, life-threatening hemorrhage. Early, definitive coverage of these defects using full thickness skin flaps avoids the risks of hemorrhage and should, if the recipient bed is clean, lessen the incidence of complicating sepsis.
authors.affiliation: Department of Neurosurgery, New York University Medical Center, N.Y.
authors.forename: R
authors.initials: R
authors.lastname: Abbott
authors.forename: C B
authors.initials: CB
authors.lastname: Cutting
authors.forename: J H
authors.initials: JH
authors.lastname: Wisoff
authors.forename: C H
authors.initials: CH
authors.lastname: Thorne
authors.forename: F J
authors.initials: FJ
authors.lastname: Epstein
mesh_terms: D005489:Focal Dermal Hypoplasia / Q000601:surgery*; D006470:Hemorrhage / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012535:Scalp / Q000002:abnormalities* / Q000601:surgery; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery*