Repair of wide coup de sabre without cutaneous excision by means of pericranial-galeal padding flap.
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.
Danino
A M
AM
Department of Plastic and Reconstructive Surgery, Chiba University Hospital, Japan.
Ichinose
M
M
Yoshimoto
S
S
Wako
M
M
Servant
J M
JM
D000328:Adult; D000505:Alopecia / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D012594:Scleroderma, Localized / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques