Two‐stage surgical treatment of giant congenital melanocytic nevus around the auricle

Abstract

Background This study presents the results of complete excision of giant congenital melanocytic nevi (GCMN) on the auricle, forehead, or periorbital area combined with tissue expansion, and skin graft transplantation performed in two stages based on 10 years of experience. Aims To solve the giant congenital melanocytic nevi on the auricle, forehead, or periorbital area with two‐stage operation. Patients/Methods A total of 21 patients with GCMN were included in this study. The operation combined tissue expander and skin graft transplantation. Result All GCMNs were successfully and completely excised. No patient in the study group had experienced skin contraction or auricular deformation at 3 years after treatment. Conclusion Two‐stage operation is effective for removing GCMN on the auricle or face and can achieve good oncological and cosmetic results.

Comparison of three different surgical approaches for the treatment of large/giant congenital melanocytic nevus

“…15 Tissue expansion is an effective procedure for healing major skin defects following excision, as it preserves the original skin structure and color while causing minor injury to the donor site. 16 As a result, tissue expansion is advised to treat head L/GCMN. In our experience, expanders can be implanted in the abdomen or shoulder if the space available for insertion is limited, such as the extremities.…”

“…Tissue expansion is an effective procedure for healing major skin defects following excision, as it preserves the original skin structure and color while causing minor injury to the donor site 16 . As a result, tissue expansion is advised to treat head L/GCMN.…”

“…Since these three operations have advantages and disadvantages, in clinical work, the use of multiple reconstructive methods simultaneously or sequentially may provide more effective treatments and reduce the patient's pain 25 . Dong, et al 16 combined tissue expansion with skin grafting in two‐stage surgeries to completely removed GCMN on the auricle, all 21 patients obtained satisfactory results without complications. Compared with a single surgical approach, this approach resulted in a faster recovery while reducing the treatment burden and accelerating the recovery process.…”

Surgical management of facial congenital melanocytic nevi: Experiences and outcomes at an academic center

“…Pioneer experiences of surgical management about facial CMN have been reported: excision or staged excision, skin grafting, dermabrasion, tissue expansion or multiple re‐expansion combined with flaps transplantation 7–9 . Some non‐surgical alternative treatments, such as carbon dioxide cryotherapy, 10 laser, 11 and MAP/ERK kinase pathway inhibition, 12 have also emerged during the last decade. Because of the special localization of facial CMN, surgical treatments are still recommended 13 …”

“…Some non-surgical alternative treatments, such as carbon dioxide cryotherapy, 10 laser, 11 and MAP/ERK kinase pathway inhibition, 12 have also emerged during the last decade. Because of the special localization of facial CMN, surgical treatments are still recommended.…”