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Scleroderma en coup de sabre.

M F Milan, J E Bennett

    Annals of Plastic Surgery
    |May 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Scleroderma en coup de sabre, a rare condition, presents unique surgical challenges. This study details tailored surgical techniques for reconstruction, including skin grafting and implants, to manage facial defects.

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    Area of Science:

    • Dermatology
    • Plastic Surgery
    • Reconstructive Surgery

    Background:

    • Scleroderma en coup de sabre is a rare morphea variant characterized by linear lesions on the face.
    • Management often requires a multidisciplinary approach, addressing both soft tissue and bony abnormalities.

    Observation:

    • This report details five cases of scleroderma en coup de sabre.
    • Surgical interventions were individualized based on the specific defects observed in each patient.

    Findings:

    • Surgical techniques included excision of affected skin followed by direct closure or full-thickness skin grafts.
    • Dermal or dermal-fat grafts were utilized for soft tissue augmentation.
    • Bony defects were addressed with prefabricated silicone implants or autogenous bone grafts.

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    Implications:

    • Tailored surgical strategies can effectively reconstruct facial deformities caused by scleroderma en coup de sabre.
    • These reconstructive methods aim to improve both aesthetic and functional outcomes for patients.