Giant Congenital Melanocytic Nevi

Arneja, Jugpal S.; Gosain, Arun K.

doi:10.1097/01.prs.0000267583.63342.0a

Cited by 81 publications

(51 citation statements)

References 75 publications

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“…Certain aspects of staged excision invite further study. 1 For instance, limited data are available regarding the optimal time interval between stages. At our center we wait at least 3 months, but it is unclear whether the degree of scar maturation and tissue relaxation associated with this practice is adequate.…”

Section: Discussionmentioning

confidence: 99%

Alternative techniques for reduction of scar length during staged excision

Fife

Alam

2011

Journal of the American Academy of Dermatology

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Section: Discussionmentioning

confidence: 99%

Alternative techniques for reduction of scar length during staged excision

Fife

Alam

2011

Journal of the American Academy of Dermatology

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“…Certainly, there does not seem to be as significant a risk for lesions of the facial area. [11][12][13][14][15] These lesions primarily represent a prominent, abnormal, and disturbing appearance to both patient and parents, and the primary indication for treatment is cosmetic. However, a subset of these lesions may present with wart-like excrescences on the eyelid margin.…”

Section: Indications For Treatmentmentioning

confidence: 99%

Congenital Melanocytic Nevi of the Eyelids and Periorbital Region

Margulis

Adler

Bauer

2009

Plastic and Reconstructive Surgery

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Early evaluation and treatment of these nevi may help in preventing the aesthetic, functional, and health-related issues for the patients. Although the current group of infants and young children will not reach full facial growth for more than another decade and a half, and therefore await critical assessment of their long-term outcomes, the authors hope that the experience gained to date will assist surgeons in managing these complex reconstructions.

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“…There has been a very biased body of literature on the risk of malignancy in CN since the 1970s which has recently become more realistic [8, 9]. Our constant attitude at the DSPOC has been based on the working hypothesis that the risk of malignancy is proportional to the size of the reservoir of nevus cells, some of which are potentially able to undergo malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

Management of Congenital Nevi at a Dermatologic Surgical Paediatric Outpatient Clinic: Consequences of an Audit Survey 1990–1997

Mérigou

Prey²,

Niamba³

et al. 2008

Dermatology

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Background: Since 1987 we have run a Dermatologic Surgical Paediatric Outpatient Clinic (DSPOC) within the Children’s Hospital in Bordeaux. Objective: We analyse the consequences of an audit survey concerning the management of patients with congenital nevi (CN) seen at this clinic. Methods: We reviewed the cases of 192 children examined and photographed at the DSPOC during the period January 1990–December 1997. Patients were contacted for a reassessment of their status. The management options chosen at the DSPOC were reviewed as well as the satisfaction of the patients or parents of young children. Results: Of 192 children prerecruited, 56 girls and 52 boys could be included in the survey. They were mostly European whites and 67% were <6 months of age at the first DSPOC visit. 65/108 (61%) had been operated following the first DSPOC visit. The mean follow-up based on the 1997–1998 survey was 33 months (8 months to 10 years). The size of the nevus, independently of location, influenced decision for early surgery. Another important factor was the estimated disfigurement risk (15% of decisions) mostly related to CN of the face. There was a significant risk of pigmentary recurrence around the scar in children operated before the age of 2, but long-term follow-up indicated a spontaneously regressive course. Conclusions: Nevus recurrence in cases operated early suggests a time-dependent phenomenon in nevogenesis. Early counselling is important. Early surgery seems associated with a better scar quality. Explanations concerning risks and outcome are best given with the cooperation of a surgeon and a dermatologist.

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Giant Congenital Melanocytic Nevi

Abstract: The plastic surgeon treating these challenging lesions must have a solid working knowledge of the disease's histology, its natural history and complications, and the options for treatment.

Cited by 81 publications

References 75 publications

Alternative techniques for reduction of scar length during staged excision

Alternative techniques for reduction of scar length during staged excision

Congenital Melanocytic Nevi of the Eyelids and Periorbital Region

Management of Congenital Nevi at a Dermatologic Surgical Paediatric Outpatient Clinic: Consequences of an Audit Survey 1990–1997

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