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Management Options for Linear Scleroderma ("En Coup de Sabre").

Ron Skorochod1, Gideon Nesher2, Yoav Gronovich1

  • 1Department of Plastic and Reconstructive Surgery, Shaare Zedek Medical Center, Hebrew University School of Medicine, Jerusalem, Israel.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|August 19, 2022
PubMed
Summary
This summary is machine-generated.

Surgical interventions effectively address facial deformities caused by en coup de sabre (ECDS) linear scleroderma. Various techniques, including fat grafting and reconstructive surgery, offer solutions for ECDS lesions, improving patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Medical Research

Background:

  • En coup de sabre (ECDS) is a linear scleroderma variant predominantly affecting the face.
  • Pharmacological treatments are available, but cutaneous deformities are common sequelae.

Purpose of the Study:

  • To review surgical tools for correcting "en coup de sabre" ECDS lesions and associated facial deformities.

Main Methods:

  • A literature search was conducted in PubMed, Scopus, and Cochrane Library Databases.
  • Reports on surgical interventions for ECDS deformities were analyzed.

Main Results:

  • Twenty-six publications involving 39 patients were identified.
  • Six surgical correction methods were found: fat grafting (41%), reconstructive surgery (18%), fillers (15%), implants (10%), botulinum toxin (8%), and grafts (8%).
  • Bony defects were present in 64.3% of patients undergoing imaging.

Conclusions:

  • Multiple surgical and minimally invasive options exist for correcting ECDS deformities.
  • Personalizing treatment to patient needs and expectations is key for satisfaction.