Circumscribed cutaneous aplasia of the vertex

Overview

A rare birth malformation where a patch of skin on the scalp is missing.

Symptoms

* Scalp defect * Missing patch of scalp skin

Treatment

There is no consensus on treatment, but the management strategy should depend on the size of the defect and the child's physical condition. In the case of large defects, an early operative treatment is desirable to prevent serious complications such as haemorrhages and infections. Sufficient skin coverage can be obtained by using rotation scalp flaps, and if necessary, additional skin grafts. Cosmetic repair at a later stage may be indicated.