Danino A M, Ichinose M, Yoshimoto S, Wako M, Servant J M
Department of Plastic and Reconstructive Surgery, Chiba University Hospital, Japan.
Plast Reconstr Surg. 1999 Dec;104(7):2108-11. doi: 10.1097/00006534-199912000-00024.
A case of double linear scleroderma of the forehead (coup de sabre) is described. The histopathology of this rare lesion is now well known with a normal epidermis and a sclerotic dermis. The correction was done with an original two-stage procedure: the lesion with alopecia was first treated by excision-suture and a transfer of the involved subcutaneous tissue along the right inner canthus; 1 year later, by a hemicoronal incision, we transferred a galeal-pericranial flap beneath the wider forehead lesion. We think that the use of a filling flap to correct wide coup de sabre lesions without cutaneous excision can be a simple alternative to the classic treatment by complete excision and flap reconstruction. The subcutaneous fascial system of the scalp can provide a good donor site with minimal morbidity.
