Supplementary Material for: Aplasia Cutis Congenita of the Scalp, Composite Type: The Criticality and Inseparability of Neurosurgical and Plastic Surgical Management

2016-03-04T00:00:00Z (GMT) by Winston K.R. Ketch L.L.
<b><i>Background/Aims:</i></b> The object of this report is to review the management of patients having the composite type of aplasia cutis congenita in the context of the relevant literature on this condition. <b><i>Methods:</i></b> Clinical records, neuroimaging and photographic documentation of identified cases of composite type aplasia cutis congenita, with a comprehensive review of the literature, are the material basis of this report. <b><i>Results:</i></b> Two neonates with composite type aplasia cutis congenita are described as examples of this disorder, and their management, including complications, is discussed. Both had satisfactory outcomes. <b><i>Conclusions:</i></b> Early aggressive surgical management with scalp rotation flaps has a low rate of complications, provides satisfactory functional and esthetic outcome, minimizes hospital stays, and should provide cost-effective care by reduction of the time to secure wound closure. Most bony defects, even large ones, commonly ossify completely. Optimal case management requires a synchronized neurosurgical and plastic surgical team. Intuitive nonsurgical and surgical approaches by the inexperienced can be hazardous.