Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
권호 표지

The Treatment of Congenital Cutis Aplasia

선천성 피부결손증의 치험 1례

  • Kim, Young-Ha (Department of Plastic and Reconstructive Surgery College of Medicine, Yeungnam University) ;
  • Cha, Gyu-Ho (Department of Plastic and Reconstructive Surgery College of Medicine, Yeungnam University) ;
  • Jung, Jae-Ho (Department of Plastic and Reconstructive Surgery College of Medicine, Yeungnam University) ;
  • Lee, Kyung-Ho (Department of Plastic and Reconstructive Surgery College of Medicine, Yeungnam University) ;
  • Seul, Jung-Hyun (Department of Plastic and Reconstructive Surgery College of Medicine, Yeungnam University)
  • 김용하 (영남대학교 의과대학 성형외과학교실) ;
  • 차규호 (영남대학교 의과대학 성형외과학교실) ;
  • 정재호 (영남대학교 의과대학 성형외과학교실) ;
  • 이경호 (영남대학교 의과대학 성형외과학교실) ;
  • 설정현 (영남대학교 의과대학 성형외과학교실)
  • Published : 1992.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

One case of Congenital Cutis Aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal arterty was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of Congenital Cutis Aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.

저자들은 회귀하고도 사망율이 높은 선천성 피부결손증 1례를 경험하고 국소피판과 피부이식으로써 치료하고 비교적 만족한 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

Keywords