Treatment Dilemma: Conservative versus Surgery in Cutis Aplasia Congenita
Abstract Cutis aplasia congenita (CAC), a congenital absence of skin and its appendages, may extend into underlying muscles and bones. The scalp is the commonest site and it may be associated with acrania. CAC presents either as a thin transparent membrane, a black eschar, an ulcer or a healed scar....
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| Veröffentlicht in: | European journal of pediatric surgery 2003-04, Vol.13 (2), p.125-129 |
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| container_title | European journal of pediatric surgery |
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| creator | Bang, R. L. Ghoneim, I. E. Gang, R. K. Al Najjadah, I. |
| description | Abstract
Cutis aplasia congenita (CAC), a congenital absence of skin and its appendages, may extend into underlying muscles and bones. The scalp is the commonest site and it may be associated with acrania. CAC presents either as a thin transparent membrane, a black eschar, an ulcer or a healed scar. The dilemma of either immediate surgical management or conservative treatment is much more pronounced in the presence of acrania. Two patients with scalp lesions measuring 12 × 8 cm and 14 × 12 cm respectively and one patient with 4 cm wide circumferential trunk cutis aplasia treated conservatively are presented. The conservative treatment is simple, easy to carry out, and effective even for large defects; therefore, it is recommended in cutis aplasia congenita till complete healing. Surgical interventions such as tissue expansion and resurfacing, contracture release, etc. are for the correction of subsequent deformity at a later date. |
| doi_str_mv | 10.1055/s-2003-39562 |
| format | Article |
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Cutis aplasia congenita (CAC), a congenital absence of skin and its appendages, may extend into underlying muscles and bones. The scalp is the commonest site and it may be associated with acrania. CAC presents either as a thin transparent membrane, a black eschar, an ulcer or a healed scar. The dilemma of either immediate surgical management or conservative treatment is much more pronounced in the presence of acrania. Two patients with scalp lesions measuring 12 × 8 cm and 14 × 12 cm respectively and one patient with 4 cm wide circumferential trunk cutis aplasia treated conservatively are presented. The conservative treatment is simple, easy to carry out, and effective even for large defects; therefore, it is recommended in cutis aplasia congenita till complete healing. Surgical interventions such as tissue expansion and resurfacing, contracture release, etc. are for the correction of subsequent deformity at a later date.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2003-39562</identifier><identifier>PMID: 12776246</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Biological and medical sciences ; Case Report ; Dermatology ; Female ; Health participants ; Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue ; Humans ; Infant, Newborn ; Male ; Medical sciences ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Skin Abnormalities - surgery ; Skin Abnormalities - therapy ; Skull - abnormalities ; Tissue Expansion</subject><ispartof>European journal of pediatric surgery, 2003-04, Vol.13 (2), p.125-129</ispartof><rights>Georg Thieme Verlag Stuttart, New York · Masson Editeur Paris</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-df2191a60e7712577ebb981fa5b7b1308d500750e103b6a766b95a5193233e283</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2003-39562.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2003-39562$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3004,3005,27901,27902,54534,54535</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14850449$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12776246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bang, R. L.</creatorcontrib><creatorcontrib>Ghoneim, I. E.</creatorcontrib><creatorcontrib>Gang, R. K.</creatorcontrib><creatorcontrib>Al Najjadah, I.</creatorcontrib><title>Treatment Dilemma: Conservative versus Surgery in Cutis Aplasia Congenita</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
Cutis aplasia congenita (CAC), a congenital absence of skin and its appendages, may extend into underlying muscles and bones. The scalp is the commonest site and it may be associated with acrania. CAC presents either as a thin transparent membrane, a black eschar, an ulcer or a healed scar. The dilemma of either immediate surgical management or conservative treatment is much more pronounced in the presence of acrania. Two patients with scalp lesions measuring 12 × 8 cm and 14 × 12 cm respectively and one patient with 4 cm wide circumferential trunk cutis aplasia treated conservatively are presented. The conservative treatment is simple, easy to carry out, and effective even for large defects; therefore, it is recommended in cutis aplasia congenita till complete healing. Surgical interventions such as tissue expansion and resurfacing, contracture release, etc. are for the correction of subsequent deformity at a later date.</description><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Dermatology</subject><subject>Female</subject><subject>Health participants</subject><subject>Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Skin Abnormalities - surgery</subject><subject>Skin Abnormalities - therapy</subject><subject>Skull - abnormalities</subject><subject>Tissue Expansion</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0D1PwzAQgGELgaAUNmaUBRYInO04jtmq8ikhMQASm-WkF3CVj-JLKvXfk9JKLEx3w6M76WXshMMVB6WuKRYAMpZGpWKHjXgiTSyV-dhlIzDDrkWSHbBDojkAT4yAfXbAhdapSNIRe3oL6Loamy669RXWtbuJpm1DGJau80uMlhiop-i1D58YVpFvomnfeYomi8qRd2v8iY3v3BHbK11FeLydY_Z-f_c2fYyfXx6eppPnuJBKdvGsFNxwlwJqzYXSGvPcZLx0Ktc5l5DNFIBWgBxknjqdprlRTnEjhZQoMjlm55u7i9B-90idrT0VWFWuwbYnq6UURoMY4OUGFqElCljaRfC1CyvLwa7TWbLrdPY33cBPt3f7vMbZH962GsDZFjgqXFUG1xSe_lySKUgSM7iLjeu-PNZo520fmqHI_29_AJPJglY</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>Bang, R. L.</creator><creator>Ghoneim, I. E.</creator><creator>Gang, R. 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Haemangioma of the skin, of mucosae and of soft tissue</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Skin Abnormalities - surgery</topic><topic>Skin Abnormalities - therapy</topic><topic>Skull - abnormalities</topic><topic>Tissue Expansion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bang, R. L.</creatorcontrib><creatorcontrib>Ghoneim, I. E.</creatorcontrib><creatorcontrib>Gang, R. K.</creatorcontrib><creatorcontrib>Al Najjadah, I.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bang, R. L.</au><au>Ghoneim, I. E.</au><au>Gang, R. K.</au><au>Al Najjadah, I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment Dilemma: Conservative versus Surgery in Cutis Aplasia Congenita</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>2003-04-01</date><risdate>2003</risdate><volume>13</volume><issue>2</issue><spage>125</spage><epage>129</epage><pages>125-129</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
Cutis aplasia congenita (CAC), a congenital absence of skin and its appendages, may extend into underlying muscles and bones. The scalp is the commonest site and it may be associated with acrania. CAC presents either as a thin transparent membrane, a black eschar, an ulcer or a healed scar. The dilemma of either immediate surgical management or conservative treatment is much more pronounced in the presence of acrania. Two patients with scalp lesions measuring 12 × 8 cm and 14 × 12 cm respectively and one patient with 4 cm wide circumferential trunk cutis aplasia treated conservatively are presented. The conservative treatment is simple, easy to carry out, and effective even for large defects; therefore, it is recommended in cutis aplasia congenita till complete healing. Surgical interventions such as tissue expansion and resurfacing, contracture release, etc. are for the correction of subsequent deformity at a later date.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>12776246</pmid><doi>10.1055/s-2003-39562</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Case Report Dermatology Female Health participants Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue Humans Infant, Newborn Male Medical sciences Public health. Hygiene Public health. Hygiene-occupational medicine Skin Abnormalities - surgery Skin Abnormalities - therapy Skull - abnormalities Tissue Expansion |
| title | Treatment Dilemma: Conservative versus Surgery in Cutis Aplasia Congenita |
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