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Aplasia cutis congenita of the scalp: How much therapy is necessary in large defects?
Author(s) -
Bernbeck B,
Schwabe J,
Groninger A,
Schaper J,
MessingJünger H,
Mayatepek E,
Rosenbaum T
Publication year - 2005
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2005.tb01977.x
Subject(s) - aplasia cutis congenita , medicine , galea , scalp , surgery , aplasia , skull , dermis , antibiotics , cutis , dermatology , pathology , microbiology and biotechnology , biology
Aim: To show that local antibiotic management and a regular inspection of aplasia cutis congenita of the skull can give an excellent result. Method: This case reports a girl born with aplasia cutis congenita of the skull presenting with a large aplasia of the epidermis, dermis, subcutaneous tissue and galea, including a bone defect without any additional risk factor, e.g. early eschar formation, cerebrospinal fluid leakage or uncommon dural blood vessels. Results: A primarily conservative treatment with local wet and antibiotic dressings together with a systemic antibiotic treatment for the first 2 wk led to an excellent result and thus prevented untimely operative and peri‐operative procedures. Conclusions: Here we have shown that conservative treatment might be an option, even if the wound diameter is greater than 1 cm 2 , to prevent infants from any untimely operative procedure with an elevated operative risk if any additional risk factors are excluded.