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Related Experiment Video

Updated: Oct 15, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Acne Keloidalis Nuchae: A Staged Reconstruction.

Amir Labib1, Louay Salfity2, Barry Powell2

  • 1Plastic Surgery, St. George's University Hospitals NHS Foundation Trust, London, GBR.

Cureus
|October 25, 2021
PubMed
Summary

Acne keloidalis nuchae (AKN) is a scarring folliculitis. A staged surgical approach with negative-pressure wound therapy and skin grafting offers quicker healing and prevents recurrence in advanced cases.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Wound Healing

Background:

  • Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis of the occipital scalp.
  • Characterized by papules, pustules, and eventual tumor-like masses.
  • Medical management is prolonged with frequent recurrences; surgical excision is standard for severe cases.

Observation:

  • A case of advanced Acne keloidalis nuchae was treated with a novel staged surgical approach.
  • The technique involved deep excision, negative-pressure wound therapy (NPWT), split-thickness skin grafting, and further NPWT.
  • This approach was applied to an extensive lesion, one of the largest reported.

Findings:

  • The staged approach resulted in accelerated wound healing compared to secondary intention.
Keywords:
acne keloidalis nuchaehair disordernpwtscalptherapytreatment

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  • No recurrence of Acne keloidalis nuchae was observed post-treatment.
  • Negative-pressure wound therapy facilitated the healing process after skin grafting.

    • Implications:

    • This staged surgical protocol may be an effective treatment for advanced Acne keloidalis nuchae.
    • The combination of deep excision, NPWT, and skin grafting offers a promising alternative for extensive lesions.
    • Further studies are warranted to validate this approach for widespread clinical adoption.