Repair of a large "coup de sabre" with soft-tissue expansion and artificial bone graft.
The authors present a case of a "coup de sabre"--a linear form of scleroderma--in an 18-year-old woman treated by means of an expanded forehead and scalp flap, a hydroxyapatite implant, and an autologous iliac bone graft. Hydroxyapatite was implanted to augment a depressive bony deformity. The nasal deformity was repaired with an expanded forehead flap and an autologous iliac bone graft. This is the first reported case in which a deformity of scleroderma was treated with a combination of an expanded skin flap and a hydroxyapatite implant.
Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.
T
T
Eguchi
K
K
Harii
Y
Y
Sugawara
D000328:Adult; D016025:Bone Transplantation; D017886:Durapatite; D005148:Facial Dermatoses / Q000601:surgery*; D005260:Female; D006801:Humans; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D012536:Scalp Dermatoses / Q000601:surgery*; D012594:Scleroderma, Localized / Q000601:surgery*; D013524:Surgical Flaps; D015626:Tissue Expansion; D014182:Transplantation, Autologous
D017886:Durapatite