title: Repair of wide coup de sabre without cutaneous excision by means of pericranial-galeal padding flap.
abstract: A case of double linear scleroderma of the forehead (coup de sabre) is described. The histopathology of this rare lesion is now well known with a normal epidermis and a sclerotic dermis. The correction was done with an original two-stage procedure: the lesion with alopecia was first treated by excision-suture and a transfer of the involved subcutaneous tissue along the right inner canthus; 1 year later, by a hemicoronal incision, we transferred a galeal-pericranial flap beneath the wider forehead lesion. We think that the use of a filling flap to correct wide coup de sabre lesions without cutaneous excision can be a simple alternative to the classic treatment by complete excision and flap reconstruction. The subcutaneous fascial system of the scalp can provide a good donor site with minimal morbidity.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chiba University Hospital, Japan.
authors.forename: A M
authors.initials: AM
authors.lastname: Danino
authors.forename: M
authors.initials: M
authors.lastname: Ichinose
authors.forename: S
authors.initials: S
authors.lastname: Yoshimoto
authors.forename: M
authors.initials: M
authors.lastname: Wako
authors.forename: J M
authors.initials: JM
authors.lastname: Servant
mesh_terms: D000328:Adult; D000505:Alopecia / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D012594:Scleroderma, Localized / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques