Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
European Journal of Pediatrics
Published in: European Journal of Pediatrics 5/2009

01-05-2009 | Original Paper

Tissue expansion for correction of baldness in aplasia cutis congenita

Authors: S. J. A. Beekmans, J. P. W. don Griot, F. B. Niessen, J. W. Mulder

Published in: European Journal of Pediatrics | Issue 5/2009

Login to get access

Abstract

Aplasia cutis is a congenital absence of the skin, usually presenting on the scalp. In 20% of all cases, part of the skull is also absent. A residual area of baldness may still be present some years after surgical or conservative treatment. It is possible to excise the scarred hairless region and cover that area with expanded hair-bearing skin from the rest of the skull. We present three patients who underwent tissue expansion and discuss the indications and pitfalls of this procedure. Conclusion: Tissue expansion can be used to cover a residual alopecia defect in young children with aplasia cutis congenita and associated bone abnormalities. The quality of the bone appears to be normal in our three patients. We demonstrate that even in young children with aplasia cutis and an underlying bony defect, tissue expansion is a safe and effective modality as a second stage reconstruction procedure.
Literature
1.
Abbott R, Cutting CB, Wisoff JH et al (1991) Aplasia cutis of the scalp: issues in its management. Pediatr Neurosurg 17:182–184PubMedCrossRef
2.
Antonyshyn O, Gruss JS, Zuker R et al (1988) Tissue expansion in head and neck reconstruction. Plast Reconstr Surg 82:58–68PubMedCrossRef
3.
Argenta LC, Dingman RO (1986) Total reconstruction of aplasia cutis congenita involving scalp, skull and dura. Plast Reconstr Surg 77:650–653PubMedCrossRef
4.
Argenta LC, Watanabe MJ, Grabb WC (1983) The use of tissue expansion in head and neck reconstructions. Ann Plast Surg 11:31–37PubMedCrossRef
5.
Bajpai M, Pal K (2003) Aplasia cutis cerebri with partial acrania-total reconstruction in a severe case and review of the literature. J Pediatr Surg 38:1–3CrossRef
6.
Baker SR, Swanson NA (1990) Tissue expansion of the head and neck. Arch Otolaryngol Head Neck Surg 116:1147–1153PubMed
7.
Beekmans SJA, Mulder JW (2001) Surgical treatment of aplasia cutis in the Adams–Oliver syndrome. J Craniofac Surg 12:569–572PubMedCrossRef
8.
Bilkay U, Kerem H, Ozek C et al (2004) Alopecia treatment with scalp expansion: some surgical fine points and a simple modification to improve the results. J Craniofac Surg 15:758–765PubMedCrossRef
9.
Calobrace MB, Downey SE (1997) Calvarian deformity and remodelling following prolonged expansion in a child. Ann Plast Surg 39:186–189PubMedCrossRef
10.
Colonna M, Cavallini M, De Angelis A et al (1996) The effects of scalp expansion in the cranial bone: A clinical, histological, and instrumental study. Ann Plast Surg 36:255–262PubMedCrossRef
11.
El-saadi MM, Nasr MA (2008) The effect of tissue expansion on skull bones in the paediatric age group from 2 to 7 years. J Plast Reconstr Aesthet Surg 61:413–418PubMedCrossRef
12.
Friedman RM, Ingram AE, Rohrich RJ (1996) Risk factors for complications in pediatric tissue expansion. Plast Reconstr Surg 98:1242–1246PubMedCrossRef
13.
Gibstein LA, Abranson DL, Bartlett RA et al (1997) Tissue expansion in children: a retrospective study of complications. Ann Plast Surg 38:358–364PubMedCrossRef
14.
Hallock CG (1987) Maximum over inflation of tissue expanders. Plast Reconstr Surg 80:567–569PubMed
15.
Hallock CG (1995) Safety of clinical over inflation of tissue expanders. Plast Reconstr Surg 96:153–157PubMedCrossRef
16.
Iconomou TG, Michelow BJ, Zuker RM (1993) Tissue expansion in the pediatric patient. Ann Plast Surg 31:134–140
17.
Kim CS, Tatum SA, Rodziewicz G (2001) Scalp aplasia cutis congenita presenting with sagittal sinus hemorrhage. Arch Otolaryngol Head Neck Surg 127:71–74PubMed
18.
Komuro Y, Yanai A, Seno H (2002) Surgical treatment of the aplasia cutis congenita of the scalp associated with bilateral coronal synostosis. J Craniofac Surg 13:513519CrossRef
19.
Leboucq N, Montoya y Martinez P, Montoya-Vigo F (1994) Aplasia cutis congenita of the scalp with large underlying skull defect: a case report. Neuroradiology 36:480–482PubMedCrossRef
20.
Leighton WD, Johnson Ml, Friedland JA (1986) Use of the temporary soft-tissue expander in post traumatic alopecia. Plast Reconstr Surg 77:737–742PubMedCrossRef
21.
LoGiudice J, Gosain AK (2003) Pediatric tissue expansion: indications and complications. J Craniofac Surg 14:866–872PubMedCrossRef
22.
Lynch PJ, Kahn EA (1970) Congenital defects of the scalp a surgical approach to aplasia cutis congenita. J Neurosurg 33:198–202PubMed
23.
Manders EK, Schenden MJ, Furrey JA et al (1984) Soft tissue expansion: concepts and complications. Plast Reconstr Surg 74:493–507PubMedCrossRef
24.
Moscona R, Berger J, Govrin J (1991) Large skull defect in aplasia cutis congenita treated by pericranial flap: long term follow up. Ann Plast Surg 26:178–182PubMedCrossRef
25.
Neumann CG (1957) The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear. Plast Reconstr Surg 19:124–130CrossRef
26.
Nichols DD, Bottini AG (1996) Aplasia cutis congenita. J Neurosurg 85:170–173PubMed
27.
Paletta C, Campbell E, Shehadi SI (1991) Tissue expanders in children. J Paediatr Surg 26:22–25CrossRef
28.
Pisarski GP, Mertens D, Warden GD (1998) Tissue expander complications in the pediatric burn patient. Plast Reconstr Surg 102:1008–1012PubMedCrossRef
29.
30.
Ribuffo D, Constantini M, Gullo P et al (2003) Aplasia cutis congenita of the scalp, the skull, and the dura. Scand J Plast Reconstr Surg Hand Surg 37:176–180PubMedCrossRef
31.
Schmelzeisen R, Schimming R, Schwipper V et al (1999) Influence of tissue expanders on the growing craniofacial skeleton. J Craniofac Surg 27:153–159
32.
Wiselander JB (1991) Tissue expansion in the head and neck. Scand J Plast Reconstr Surg 25:47–56CrossRef
33.
Yang JY, Yang WG (2000) Large scalp and skull defect in aplasia cutis congenita. Br J Plast Surg 53:619–622PubMedCrossRef
Metadata
Title
Tissue expansion for correction of baldness in aplasia cutis congenita
Authors
S. J. A. Beekmans
J. P. W. don Griot
F. B. Niessen
J. W. Mulder
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 5/2009
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-008-0784-0

Other articles of this Issue 5/2009

European Journal of Pediatrics 5/2009 Go to the issue

Original Paper

Unusually severe phenotype of neonatal primary hyperparathyroidism due to a heterozygous inactivating mutation in the CASR gene

Original Paper

Determination of EDTA in dried blood samples by tandem mass spectrometry avoids serious errors in newborn screening

Original Paper

Blood pressure levels in childhood: probing the relative importance of birth weight and current size

Original Paper

Femoral head epiphysis growth and development among Chinese children aged 0-5 years

Short Report

Neonatal screening for congenital hypothyroidism in the Federation of Bosnia and Herzegovina: eight years’ experience

Obituary

Obituary