Clinical application of wet healing in the treatment of aplasia cutis congenita on scalp: A case report

Aplasia cutis congenita (ACC) is a rare congenital abnormality characterized by localized defects in the skin at birth. It commonly affects the scalp and coexists with cranial bone defects, which increase the risk of infection and bleeding. This risk is particularly heightened for midline lesions. There is currently no clear indication for surgical or conservative treatment, therefore, it would be beneficial to seek scientific support in order to determine the optimal treatment strategies. This case report describes a newborn with ACC who had a significant defect measuring 4 cm in diameter, along with cranial bone defects. Following wet and dry healing treatments, the wound healed by the 10th day. The defect showed significant healing within just one week, with the wound progressing from a moist to a dry healing process. The early implementation of moist wound healing therapy along with securing oil gauze with an elastic cap, followed by the application of a dry healing method to expedite crust formation, could possibly serve as the basic wound care therapy for similar ACC cases presenting with cranial defects. • The wound showed significant healing within one week, transitioning from moist to dry wound healing. • Early implementation of moist wound healing followed by dry healing may be a beneficial wound care strategy for similar ACC cases with cranial defects.