Classification and management of aplasia cutis congenita

Type	Size of defect	Layers involved	Involvement of veins	Treatment
Type	Size of defect	Layers involved	Involvement of veins	Immediate	Late
0	Any	Intact epidermis without skin appendages (scarred, hairless area on the scalp)	No	None
I	<15 cm²	Skin defect, no skull bone defect	No	Conservative treatment until complete epithelialization	Hair transplantation, serial excision, or tissue expansion and flap reconstruction, according to final defect size
II	>15 cm²	Skull bone defect, exposed dura	No	Conservative treatment until complete epithelialization; emergency coverage may be considered
III	Any, usually large	Skin and skull defect with exposed dura and sagittal sinus	Enlarged exposed veins	Emergency coverage with allograft, skin substitute, or autologous skin graft
IV	Any, usually large	Skin, skull, and dura defect with brain exposure	Any, usually with enlarged exposed veins	Flap reconstruction

From: Silberstein E, Pagkalos VA, Landau D, et al. Aplasia Cutis Congenita: Clinical Management and a New Classification System. Plast Reconstr Surg 2014; 134:766e. DOI: 10.1097/PRS.0000000000000638. Copyright © 2014 American Society of Plastic Surgeons, Inc. Reproduced with permission from Lippincott Williams & Wilkins. Unauthorized reproduction of this material is prohibited.

Graphic 113283 Version 5.0

خرید پکیج

Classification and management of aplasia cutis congenita