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Correction of facial linear scleroderma 'coup de sabre' with BoneSource
Dong Yeon Hwang1, Hye Won Paik, Jun Hee Byeon
1Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, St. Mary's Hospital, Seoul, Korea.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|February 5, 2008
Summary
Linear scleroderma, a subtype of localized scleroderma, can cause significant facial deformities. Calcium phosphate hydroxyapatite cement effectively corrected a
Area of Science:
- Dermatology
- Plastic Surgery
- Craniofacial Surgery
Background:
- Linear scleroderma is a subtype of localized scleroderma.
- The 'coup de sabre' deformity presents as an ivory-like, depressed lesion on the scalp and forehead.
- Surgical correction of 'coup de sabre' deformities remains challenging with no definitive treatment.
Observation:
- A 19-year-old female presented with a band-like, depressed lesion on her frontoparietal scalp, consistent with 'coup de sabre' deformity.
- The lesion involved skin, subcutaneous tissue, and underlying osteocartilaginous structures.
- Treatment involved subperiosteal dissection and augmentation of the depressed area.
Findings:
- Augmentation of the depressed lesion was achieved using calcium phosphate hydroxyapatite cement (BoneSource).
- The surgical outcome was excellent, with both cosmetic and functional aspects satisfactorily addressed.
- No complications were observed during the 36-month follow-up period.
Implications:
- Calcium phosphate hydroxyapatite cement offers a promising and effective solution for correcting 'coup de sabre' deformities.
- This technique provides excellent cosmetic and functional results with long-term stability.
- Further research into reconstructive techniques for linear scleroderma is warranted.