Giant Congenital Melanocytic Nevi

Arneja, Jugpal S.; Gosain, Arun K.

doi:10.1097/prs.0b013e3181ab11be

Cited by 87 publications

(113 citation statements)

References 68 publications

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“…The melanin pigment in the surface is apparent early or it may delay in appearance from age of 1 month to 2 years in the rare Btardive^type. A GCMN larger than 9.9 cm in diameter occurs in 1 per 20,000 newborns; larger than 20 cm in diameter occurs in 1 per 500,000 newborns [1][2][3]. An equal prevalence exists in males and females.…”

Section: Discussionmentioning

confidence: 99%

“…Full-thickness graft can be used only for limited areas, and its availability and Btake^are limited. Even though flaps with the same skin color and thickness is ideal, but it is difficult to get such light colored and thin flaps [2]. Free flaps are like forearm flap; anterolateral thigh flap in a child is difficult technically due to long procedures and microvascular anastomotic difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…The nevomelanocytes may extend into the subcutaneous tissue. Nevomelanocytes tend to be associated with skin appendages, vessels, and nerves [2].…”

Section: Discussionmentioning

confidence: 99%

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Giant Congenital Melonocytic Nevi of Face-Primary Excision with Reconstruction Using Self-Filling Osmotic Expanders

Venugopal

2015

Indian J Surg

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Congenital hairy nevi or giant congenital melanocytic nevi (GCMN) especially that of the face pose a great challenge to reconstructive surgeons. These unsightly lesions can be psychologically damaging to both parent and child. A variety of treatment options exist for the management of such cases. In this review article, we present two children who had a GCMN of their face managed with self-inflatable tissue expanders (osmotic tissue expanders [OTEs]) for single stage excision, and reconstruction is presented. The uses of self-inflating tissue expanders are now a regular choice for tissue cover in wide areas and in children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Giant Congenital Melonocytic Nevi of Face-Primary Excision with Reconstruction Using Self-Filling Osmotic Expanders

Venugopal

2015

Indian J Surg

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“…They are categorized into small (<1.5 cm), medium (1.5-19.9 cm), large (>20 cm) and very large or giant 'garment' nevi (>40-60 cm) [12]. CMN have the tendency to enlarge in proportion to the growth of the child and may additionally develop changes in color and surface topography over time [13,14]. Although the absolute risk for developing melanoma in association with CMN is low, the relative risk is high, and is more significant for larger CMN than for smaller CMN [15].…”

Section: Congenital Melanocytic Nevimentioning

confidence: 99%

Dermoscopy of nevi and melanoma in childhood

Brooks

Scope

Braun

et al. 2011

Expert Review of Dermatology

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“…Thus, the management of CMNs needs to be individualized for each patient 5 . There are many treatment options for CMNs: surgical excision, dermabrasions, curettage, laser treatment, chemical peels and cryosurgery 1,6 . Surgical excision is the most commonly used method because this completely removes the nevus cells.…”

Section: Introductionmentioning

confidence: 99%

A Combination of Dual-mode 2,940 nm Er:YAG Laser Ablation with Surgical Excision for Treating Medium-sized Congenital Melanocytic Nevus

Lim

Jeong

Whang³

2009

Ann Dermatol

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Background: There are various treatment options for congenital melanocytic nevus (CMN), including surgical excision, dermabrasions, curettage, laser treatment, chemical peels and cryosurgery. The proper choice of treatment depends on the size, location, thickness and clinical appearance of the nevi, the risk for developing melanoma, the psychological effect and the cosmetic component. Objective: The purpose of this study is to evaluate the outcome of a combination of surgical excision with Er: YAG laser ablation for treating CMNs. Methods: A total of 13 patients were included in this study. The nevus was excised as much as possible and only dermal suturing was performed, without epidermal suturing, for the primary closure. We then ablated the whole lesion, including the suture lines, by using a dual-mode 2,940 nm Er:YAG laser with three to five passes. All the lesions were followed up for 6 months and they were evaluated with respect to the healing status, infection, erythema, scarring, textural change and pigmentary change. Subject satisfaction was scored at the 16 th week by the patients. Results: Eleven (83%) of the 13 patients were clinically rated as having a good to excellent result by the physicians' Global Assessment Scale (GAS) scores for the lesions' reduction of size, the degree of scarring and the pigmentary change with only a one stage procedure. 10 (77%) of the total 13 patients reported a good to excellent result at four months after treatment. Conclusion: A combination of surgical excision with Er:YAG laser ablation as a one stage procedure is a safe, effective modality and it should be considered as one of the options for treating medium-sized CMNs.

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Giant Congenital Melanocytic Nevi

Abstract: : To successfully treat these complex lesions, the plastic surgeon must understand the disease process, the natural history and complications, and the options for treatment.

Cited by 87 publications

References 68 publications

Giant Congenital Melonocytic Nevi of Face-Primary Excision with Reconstruction Using Self-Filling Osmotic Expanders

Giant Congenital Melonocytic Nevi of Face-Primary Excision with Reconstruction Using Self-Filling Osmotic Expanders

Dermoscopy of nevi and melanoma in childhood

A Combination of Dual-mode 2,940 nm Er:YAG Laser Ablation with Surgical Excision for Treating Medium-sized Congenital Melanocytic Nevus

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