Tissue expansion in the treatment of giant congenital melanocytic nevi

Treatment of giant facial congenital melanocytic nevi (CMN) is recommended due to the potential for malignant degeneration, although therapy may be complicated because of cosmetic and functional considerations and the results problematic. We present the case of a 2-year-old child with a giant CMN of...

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Published inArchives of otolaryngology--head & neck surgery Vol. 113; no. 9; p. 987
Main Authors Maves, M D, Lusk, R P
Format Journal Article
LanguageEnglish
Published United States 01.09.1987
Subjects
Child, Preschool
Dilatation - instrumentation
Humans
Male
Nevus, Pigmented - surgery
Scalp
Skin Neoplasms - surgery
Surgical Flaps
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Summary:Treatment of giant facial congenital melanocytic nevi (CMN) is recommended due to the potential for malignant degeneration, although therapy may be complicated because of cosmetic and functional considerations and the results problematic. We present the case of a 2-year-old child with a giant CMN of the scalp, excision of which was facilitated by the use of a tissue expander. This technique allows the creation of skin similar in appearance and type to that immediately adjacent to the defect. The giant CMN, which covered approximately one third of the scalp, was excised and simultaneously resurfaced with the remaining expanded normal scalp.
ISSN:0886-4470
DOI:10.1001/archotol.1987.01860090085026