Psychosocial Experiences in Children With Congenital Melanocytic Nevus on the Face and Their Parents Throughout the Tissue Expansion Treatment

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Chang Zhang ◽  
Lehao Wu ◽  
Sichun Zhao ◽  
Qianwen Wang ◽  
Tao Li ◽  
...  
Keyword(s):  
Tissue Expansion ◽  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
Psychosocial Experiences ◽  
The Face

scholarly journals Congenital Melanocytic Hairy Nevi in a Child from North-Western Nigeria

2020 ◽  
pp. 28-34
Author(s):  
Fatima Bello Jiya ◽  
Maryam Amodu- Sanni ◽  
Nma Muhammed Jiya ◽  
Dada Muhammed Aquib ◽  
Muhammed Umar ◽  
...  
Keyword(s):  
Melanocytic Nevus ◽  
Temporal Region ◽  
Healthy Children ◽  
Congenital Melanocytic Nevus ◽  
Melanocytic Nevi ◽  
Lower Back ◽  
The Face ◽  
Congenital Melanocytic Nevi ◽  
North Western ◽  
Apparently Healthy

Aim: To present the first report of a large congenital melanocytic nevus with satellite nevi in an apparently healthy child from Sokoto, North-Western Nigeria. Presentation of Case: A three year old girl was brought to the paediatric out-patient clinic of Paediatrics department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto with complaints of darkened skin colour on the left side of the face and scalp, the left arm, lower back, buttocks, and thighs, and excessive hair growth over the same side of the face since birth. There were no neurological symptoms Physical examination findings revealed a well-nourished, not ill looking child. She had a hyper pigmented patch on the left side of the face extending from the lower jaw to the scalp, measuring 21 cm in its longest length, with hypertrichosis on the same site, and two distinct, firm, painless nodular lesions on the left temporal region measuring 3 mm and 4mm respectively. On the lower one-third of the left arm was a hairy, velvety area of hyperpigmentation measuring 2X3 cm in diameter. Other affected sites were the lower back, the gluteal region and the thighs. Her neurologic and other systemic examinations were normal. A diagnosis of large congenital facial melanocytic hairy nevus with multiple satellite nevi was made. Discussion: Congenital melanocytic nevi are benign proliferations of melanocytic cells said to be present at birth or in the first two years of life. Large lesions are rare, they measure 20 cm or more and are said to occur more commonly on the trunk and thighs. The exact pathogenesis of congenital melanocytic nevi is yet, unknown. It is thought to occur as a result of a morphological error in the neuroectoderm during embryogenesis. Treatment of patients with large congenital melanocytic nevus may include surgical or non-surgical procedures as well as psychological interventions. Large lesions, multiple satellite lesions or paravertebral and axial locations are sometimes associated with the risk of neurological complications and malignant transformation. Conclusion: Large congenital melanocytic nevi are uncommon skin lesions that can occur in apparently healthy children. Individualization of the patients with regards to treatment options and long term monitoring are imperative.

scholarly journals Cerebriform congenital melanocytic nevus of scalp and its management using tissue expansion

2021 ◽  
Vol 0 ◽  
pp. 1-3
Author(s):  
Shruti Patel ◽  
Naveen Kumar
Keyword(s):  
Tissue Expansion ◽  
Surgical Excision ◽  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
Parietal Region ◽  
Psychological Consequences ◽  
Tissue Expanders ◽  
Pigmented Lesion ◽  
Scalp Defect ◽  
Variable Surface

Congenital melanocytic nevi are benign proliferations of cutaneous nevomelanocytes. Usually, they manifest at birth or become apparent within the first few years of life. The nevi show variable surface morphology (papular, rugose, verrucous, or cerebriform). Congenital melanocytic nevus showing cerebriform morphology is a rarity. Early diagnosis and surgical excision are usually recommended in congenital melanocytic nevus to prevent the future risk of malignant transformation which is higher in larger lesions, especially in giant forms (>20 cm in size). An excision of the lesion also helps to avoid the social and psychological consequences arising out of significant cosmetic deformity. We report a 21-year-old patient who presented with a cerebriform congenital melanocytic nevus measuring 10 cm × 7 cm × 2 cm in the right parietal region. Early-onset, pigmented lesion with a cerebriform surface, and the histopathology features of congenital melanocytic nevus were the points that favored the diagnosis of cerebriform congenital melanocytic nevus in our patient. He was treated with excision of the lesion and defect coverage with tissue expansion in two stages. Two rectangular tissue expanders were placed beneath the galea aponeurotica (one with a capacity of 300 cc in the left parietal region and another with 500 cc in the occipital region). Both the expanders were inflated twice to their capacity. Second stage surgery was performed after about 3 months in which the tissue expanders were removed and the pre-expanded scalp skin was used to drape the scalp defect that resulted from the excision of the lesion. An excision and a two staged reconstruction of the scalp using tissue expanders, may ensure a good aesthetic outcome in the management of intermediate to large sized congenital melanocytic nevus.

scholarly journals Serial Excision for the Treatment of Giant Congenital Melanocytic Nevus: The Vietnamese Way

2019 ◽  
Vol 7 (2) ◽  
pp. 231-233
Author(s):  
Son Nguyen Hong ◽  
Nghi Dinh Huu ◽  
Nham Nguyen Duy ◽  
Tuy Than Trong ◽  
Hung Nguyen Bac ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Tissue Expansion ◽  
Skin Grafting ◽  
Melanocytic Nevus ◽  
Skin Closure ◽  
Congenital Melanocytic Nevus ◽  
Skin Grafts ◽  
Good Outcome ◽  
Serial Excision ◽  
Giant Congenital Melanocytic Nevus

AIM: To investigate the efficacy of plastic surgery in the treatment of giant congenital melanocytic nevus (GCMN). METHODS:  We enrolled 20 patients with 44 lesions and performed one of the following procedures: serial excision, skin grafting, tissue expansion, primary skin closure, distant flap, and adjacent flap. We assessed the outcome at 10 days and 6 months after surgery. RESULTS: Of 44 surgical sites, the most commonly used reconstruction surgeries were serial excision (16), skin grafting (16), and tissue expansion (6). Other types were rarely used. All patients with serial excision had good outcome. A total of 81% and 19% of the patients with skin grafting had good and fair outcome, respectively. Around 83% and 17% of the patients with tissue expansion had good and fair outcome. No cases had bad outcome. CONCLUSION: In conclusion plastic surgery is effective in the treatment of GCMN. There are different techniques but serial excision, skin grafts, and tissue expansion are most commonly used.

scholarly journals Giant congenital melanocytic nevus of the face. A clinical case report

2015 ◽  
Vol 3 (2) ◽  
pp. 56-60 ◽  
Author(s):  
Margarita Sergeevna Tsyplakova ◽  
Anna Sergeevna Usoltseva ◽  
Yulia Vladimirovna Stepanova
Keyword(s):  
Functional Results ◽  
Integrated Approach ◽  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
Maxillofacial Region ◽  
Anatomical Features ◽  
Medical Observation ◽  
Choice Of Treatment ◽  
Aesthetic Results ◽  
The Face

This article describes a rare case of congenital anomalies: giant melanocytic nevus of the face. Errors in the choice of treatment strategy of children with this disease and their complications can lead to poor aesthetic and functional results. When choosing a method of plastic eliminate defects formed after removal of nevi, it is necessary to take into account anatomical features of the maxillofacial region. The department developed the scheme of complex treatment of these patients. Surgical treatment in combination with massage and myogymnastics, regular medical observation, provides a good aesthetic results. Integrated approach in the treatment of children with giant nevi of the face allows for an early medico-social rehabilitation of children with this pathology.

The face in congenital melanocytic nevus syndrome

2012 ◽  
Vol 158A (5) ◽  
pp. 1014-1019 ◽  
Author(s):  
Veronica Kinsler ◽  
Adam C. Shaw ◽  
Johannes H. Merks ◽  
Raoul C. Hennekam
Keyword(s):  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
The Face

scholarly journals Multifactorial analysis of the surgical outcomes of giant congenital melanocytic nevi: Single versus serial tissue expansion

2020 ◽  
Vol 47 (6) ◽  
pp. 551-558
Author(s):  
Min Ji Kim ◽  
Dong Hwan Lee ◽  
Dong Ha Park
Keyword(s):  
Risk Factors ◽  
Surgical Outcomes ◽  
Capsular Contracture ◽  
Tissue Expander ◽  
Tissue Expansion ◽  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
Complete Surgical Resection ◽  
Giant Congenital Melanocytic Nevi ◽  
Congenital Melanocytic Nevi

Background Giant congenital melanocytic nevus (GCMN) is a rare disease, for which complete surgical resection is recommended. However, the size of the lesions presents problems for the management of the condition. The most popular approach is to use a tissue expander; however, single-stage expansion in reconstructive surgery for GCMN cannot always address the entire defect. Few reports have compared tissue expansion techniques. The present study compared single and serial expansion to analyze the risk factors for complications and the surgical outcomes of the two techniques.Methods We retrospectively reviewed the medical charts of patients who underwent tissue expander reconstruction between March 2011 and July 2019. Serial expansion was indicated in cases of anatomically obvious defects after the first expansion, limited skin expansion with two more expander insertions, or capsular contracture after removal of the first expander.Results Fifty-five patients (88 cases) were analyzed, of whom 31 underwent serial expansion. The number of expanders inserted was higher in the serial-expansion group (P<0.001). The back and lower extremities were the most common locations for single and serial expansion, respectively (P=0.043). Multivariate analysis showed that sex (odds ratio [OR], 0.257; P=0.015), expander size (OR, 1.016; P=0.015), and inflation volume (OR, 0.987; P=0.015) were risk factors for complications.Conclusions Serial expansion is a good option for GCMN management. We demonstrated that large-sized expanders and large inflation volumes can lead to complications, and therefore require risk-reducing strategies. Nonetheless, serial expansion with proper management is appropriate for certain patients and can provide aesthetically satisfactory outcomes.

scholarly journals Large and giant melanocytic nevi of the maxillofacial area in children: features of the morphological structure and surgical treatment

2015 ◽  
Vol 3 (4) ◽  
pp. 22-28
Author(s):  
Anna Sergeevna Usoltseva ◽  
Yulia Vladimirovna Stepanova ◽  
Ivan Nikolaevich Krasnogorskiy ◽  
Margarita Sergeevna Tsyplakova
Keyword(s):  
Surgical Treatment ◽  
Treatment Options ◽  
Morphological Characteristics ◽  
Morphological Structure ◽  
Melanocytic Nevus ◽  
Surgical Removal ◽  
Congenital Melanocytic Nevus ◽  
Surgical Interventions ◽  
The Face ◽  
Surgical Treatments

Background. Congenital melanocytic nevus is a benign pigmented neoplasm composed of nevus cells that clinically manifest at birth. When choosing a treatment for nevi, the possibility of recurrence as well as the threat of tumor malignancy should be considered. The aim of this work is to justify the surgical removal of a large and giant nevi of the face as a method of treatment justified by the pathomorphological structure. Materials and Methods. In 40 children of different ages born with large and giant nevi of the face, we used various types of plastic surgery to eliminate any defects formed after the excised nevi. We accounted for the features of the maxillofacial area: local plasty, expander dermotension, and transplantation of free skin grafts. We performed a total of 68 surgical interventions. Sixteen patients underwent the surgery once and 24 patients underwent secondary surgery (from 2 to 4). We also developed a scheme of the staged surgical treatments and conservative methods. Results. All patients had stable positive results that were studied by comparing the outcomes of different surgical treatment options and accounting for various morphological characteristics of the removed nevi.

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