CIRUGIA PLÁSTICA PEDIÁTRICA
The lack of development of the skin during fetal growth is call Aplasia Cutis. The newborn is born with a wound that in the vast majority of cases closes with wound care leaving a scar. Since the most frequent site of presentation is the scalp, it can leave a scar without hair growth in the area. You may need a surgical procedure in the newborn period when they are very large defects with exposure of vital tissue or in children to manage the remanent scar.
Aplasia cutis congenital
Nevus Sebaceous or Jadasshon, are generally orange or yellowish moles and can be warty or with excrescences. It can develop different neoplasms in the nevus so they are indicated to be removed. Depending on the location and size of the injury are the surgical options to plan your removal.
Tissue expanders on the scalp
It is a cyst or tumor of the scalp that grows slowly but does not dissolve. They must be removed and sent to a biopsy to confirm the diagnosis.
Many of the scars on the head are noticeable because they leave a growthless segment of the hair. Many of these alopecic scars cannot be made to go away, but some can be improved with surgery.
Many times the scalp defect is very large and cannot be covered with adjacent skin (flaps) and it is required to expand the skin with tissue expanders before removing the defect. Tissue expanders are like balloons that are placed under the skin and above the skull. At first they are deflated and slowly fill with liquid until they reach the desired size. This process can take months. Then the expanders are removed and the skin is advanced or rotated to cover the skull, removing the scar, nevi or other.