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Surgical Management of Localized Scleroderma

Title
Surgical Management of Localized Scleroderma
Author
안희창
Keywords
Localized scleroderma; Linear scleroderma; Morphea; Dermatosclerosis
Issue Date
2017-09
Publisher
대한두개안면성형외과학회
Citation
Archives of Craniofacial Surgery, v. 18, no. 3, page. 166-171
Abstract
Background: Localized scleroderma is characterized by a thickening of the skin from excessive collagen deposits. It is not a fatal disease, but quality of life can be adversely affected due to changes in skin appearance, joint contractures, and, rarely, serious deformities of the face and extremities. We present six cases of localized scleroderma in face from our surgical practice.Methods: We reviewed six localized scleroderma cases that were initially treated with medication and then received follow-up surgery between April 2003 and February 2015.Six patients had facial lesions. These cases presented with linear dermal sclerosis on the forehead, oval subcutaneous and dermal depression in the cheek.Results: En coup de sabre (n=4), and oval-shaped lesion of the face (n=2) were successfully treated. Surgical methods included resection with or without Z-plasty (n=3), fat graft (n=1), dermofat graft (n=1), and adipofascial free flap (n=1). Deformities of the affected parts were surgically corrected without reoccurrence.Conclusion: We retrospectively reviewed six cases of localized scleroderma that were successfully treated with surgery. And we propose an algorithm for selecting the best surgical approach for individual localized scleroderma cases. Although our cases were limited in number and long-term follow-up will be necessary, we suggest that surgical management should be considered as an option for treating scleroderma patients.
URI
https://e-acfs.org/journal/view.php?doi=10.7181/acfs.2017.18.3.166https://repository.hanyang.ac.kr/handle/20.500.11754/115455
ISSN
2287-1152; 2287-5603
DOI
10.7181/acfs.2017.18.3.166
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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