case_images: PMC10476651_01
case_images: Facial photography of the patient. (A) Pre-operative front photo, (B) Pre-operative left 45-degree photo, (C) Post-operative front photo, (D) Post-operative left 45-degree photo.
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case_images: In April 2023, the patient decided to undergo surgical treatment to improve the tissue depression but refused to undergo an excision procedure; thus, autologous fat grafting was chosen for treatment (Figure 1). Despite partial resorption of the fat graft, the patient was satisfied with the outcome of the procedure (Figure 1).
case_images: MRI and CT examination of the scalp. (A) En coup de sabre on the scalp. (B and C) MRI and CT fusion images of the scalp at different horizontal levels, fat was marked in yellow pseudo-color base on MRI, bone was marked in white based on CT. (D) Front view of the 3D reconstruction model of the patient's skull based on CT, the bony change beneath the lesion were shown by color map compared with normal side. (E) Left side view of the 3D model. (F) Top view of the 3D model.
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case_images: Further CT and 3D reconstruction revealed a slight thinning of the left parietal bone and the zygomatic process of the left frontal bone and a sphenoidal bony protrusion of the left frontal area (Figure 2).