The Feasibility of Tissue Expanders in Reconstruction of Giant Congenital Melanocytic Nevi in Children

Abstract

Background and AimsIn the current study we serched the outcome of circumcisions performed with a new plastic clamp. The results were compared to those who underwent conventional circumcision. Methods We analyzed the short-term complications of the procedure among the 3650 children who were consecutively circumcised by plastic Alis klamp technique. The results were compared to those of 1275 children who were circumcised by conventional technique. Results The rate of infection (0.4%) and bleeding (0.2%) after plastic clamp were significantly lower compared to those children circumcised by conventional technique (3.2% and 4.1%; p<0.0001). Buried penis occured in similar rates among both groups. We did not encounter any penile injury in either groups. The total complication rates of plastic clamp and conventional techniques were found as 1.8% and 8.7%, respectively (p<0.0001). The mean duration of circumcision time with plastic clamp and conventional technique was 4.1 ± 1.2 min and 24 ± 3.6 min, respectively (p<0.0001). Conclusion Plastic Alis klamp technique is suggested as the circumcision procedure of choice due to reduced complications, as well as short duration and ease of application.

Serial Tissue Expansion and Skin Grafts in the Management of a Giant Congenital Nevus of the Face: Review of Literature and Case Report

“…11,12 The main advantage of tissue expansion is the ability to provide significant amounts of color-and texture-matched skin with potentially minor donor-site morbidity. [13][14][15] Occasionally, in patients with a very large cheek nevus, as seen in the case presented, more than just a single expansion may be needed to resurface the involved area. 16,17 Although an expanded cervicofacial flap could be advanced from the mandibular region upward and medially, it is difficult to reach the medial canthus in one stage.…”

“…The tissue expansion remains the primary basis for resurfacing larger areas for extensive pigmented nevi [11,12]. The main advantage of tissue expansion is the ability to provide significant amounts of color-and texture-matched skin with potentially minor donor-site morbidity [13][14][15]. Occasionally, in patients with a very large cheek nevus, as seen in the case presented, more than just a single expansion may be needed to resurface the involved area [16,17].…”