[Tissular expansion in giant congenital nevi treatment].

Authors :: Nguyen Van Nuoi V
Francois-Fiquet C
Diner P
Sergent B
Zazurca F
Franchi G
Buis J
Vazquez MP
Picard A
Kadlub N
Source :: Annales de chirurgie plastique et esthetique [Ann Chir Plast Esthet] 2014 Aug; Vol. 59 (4), pp. 240-5. Date of Electronic Publication: 2013 Nov 20.
Publication Year :: 2014
Abstract: Unlabelled: Surgical management of giant melanotic naevi remains a surgical challenge. Tissue expansion provides tissue of the same quality for the repair of defects. The aim of this study is to review tissular expansion for giant melanotic naevi.<br />Materials and Methods: We conducted a retrospective study from 2000 to 2012. All children patients who underwent a tissular expansion for giant congenital naevi had been included. Epidemiological data, surgical procedure, complication rate and results had been analysed.<br />Results: Thirty-tree patients had been included; they underwent 61 procedures with 79 tissular-expansion prosthesis. Previous surgery, mostly simple excision had been performed before tissular expansion. Complete naevus excision had been performed in 63.3% of the cases. Complications occurred in 45% of the cases, however in 50% of them were minor. Iterative surgery increased the complication rate.<br />Conclusion: Tissular expansion is a valuable option for giant congenital naevus. However, complication rate remained high, especially when iterative surgery is needed.<br /> (Copyright © 2013 Elsevier Masson SAS. All rights reserved.)