Cryocarboxy Surgery for the Treatment of Congenital Melanocytic Nevi of the Face, a New Addition of Simple Treatment for a Troublesome Problem

The American Journal of Cosmetic Surgery ◽

10.1177/0748806820977369 ◽

2020 ◽

pp. 074880682097736

Author(s):

Nader Gomaa Elmelegy

Keyword(s):

Carbon Dioxide ◽

Laser Therapy ◽

Treatment Options ◽

Melanocytic Nevi ◽

Simple Treatment ◽

Evaluation Score ◽

Carbon Dioxide Gas ◽

Chemical Peeling ◽

The Face ◽

Congenital Melanocytic Nevi

Congenital melanocytic nevi of the face cause substantial psychological and cosmetic problems in affected patients. The treatment of giant congenital nevi has been a long-standing challenge, but currently, various treatment options, such as cryotherapy, chemical peeling, electrical cautery, laser therapy, and surgery, have been tried for the treatment of congenital melanocytic nevi. In this article, we present our experience and the outcomes of the use of controlled carbon dioxide gas as a cryogen in the treatment of congenital melanocytic nevi. This study included 42 patients with varying sizes of congenital melanocytic nevi seen from January 2014 to April 2019. Cryocarboxy surgery was performed in all cases. The average evaluation score of our patients was excellent in 28 (66.6%) cases, good in 9 (21.4%) cases, satisfactory in 5 (12%) cases, and we had no poor results. Cryocarboxy surgery is a good addition to the armamentarium for the treatment of congenital melanocytic nevi. Carbon dioxide is a cheap, non-explosive, and readily available gas.

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

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2020/v18i730221 ◽

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.

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Combination laser therapy as a non-surgical method for treating congenital melanocytic nevi from cosmetically sensitive locations on the body

Lasers in Medical Science ◽

10.1007/s10103-019-02753-0 ◽

2019 ◽

Vol 34 (9) ◽

pp. 1925-1928

Author(s):

Emi Funayama ◽

Yuhei Yamamoto ◽

Akihiko Oyama ◽

Naoki Murao ◽

Toshihiko Hayashi ◽

...

Keyword(s):

Laser Therapy ◽

The Body ◽

Melanocytic Nevi ◽

Surgical Method ◽

Congenital Melanocytic Nevi

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Is Laser Therapy an Adequate Treatment for Giant Congenital Melanocytic Nevi?

Medical Laser Application ◽

10.1078/1615-1615-00119 ◽

2004 ◽

Vol 19 (1) ◽

pp. 6-18 ◽

Cited By ~ 3

Author(s):

Jean-Loïc Michel

Keyword(s):

Laser Therapy ◽

Adequate Treatment ◽

Melanocytic Nevi ◽

Giant Congenital Melanocytic Nevi ◽

Congenital Melanocytic Nevi

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Histological Comparison Between Deep Chemical Peeling DE ROSSI FATTACCIOLI’s Formulae) and Ultra-Pulsed CO2 Laser Resurfacing

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc/03/03/00004 ◽

2018 ◽

Vol 3 (3) ◽

Keyword(s):

Carbon Dioxide ◽

Laser Treatment ◽

Co2 Laser ◽

Laser Resurfacing ◽

Histological Sections ◽

Chemical Peeling ◽

The Face ◽

Pulsed Co2 Laser

The laser treatment of carbon dioxide ultra-pulsed and peelings chemical phenol-deep oil crotón (formulas BackerGordon and Litton) have been and remain the most used for the rejuvenation of the skin of the face. This study was conducted to compare the effects of both treatments by histological sections at different periods of the evolution of the same. Biopsies were performed face treaties skin before and retro immediately and 24 hours after the ablations CO2 laser and 24 hours after application of the formula of Litton for chemical peeling deep. Areas in areas near the biopsies were biopsied 12 hours, 24 hours, 1 week, 2 weeks, 2 and 3 months later, in the case of treatment with phenol 24 hours, 48 hours, 72 hours, 1 week, 1 year and 10 years later. The initial biopsies showed that being ablations CO2 laser deeper than the chemical peeling with phenol, a month both had formed an area neocolágeno. But after three months, the comparatively deep phenol chemical peeling (formula Litton) had been an area neocolágeno more compact and wide as that produced by the CO2 laser ultra-pulsed.

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Aanpak en behandelingsopties voor congenitale melanocytaire naevi

Tijdschrift voor Geneeskunde ◽

10.47671/tvg.77.21.082 ◽

2021 ◽

Author(s):

A. VANNESTE ◽

M. GARMYN ◽

M.-A. MORREN

Keyword(s):

Treatment Options ◽

Neurological Complications ◽

Treatment Modalities ◽

Melanocytic Nevi ◽

The Central Nervous System ◽

Magnetic Resonance Imaging Mri ◽

Long Term Prognosis ◽

Congenital Melanocytic Nevi

Management and treatment options in congenital melanocytic nevi Congenital melanocytic nevi (CMN) are benign collections of nevus cells in the skin. They are present at birth or arise during the first weeks of life. Depending on the size, they appear in 1 in 100 to 500.000 live births. CMN are associated with a variety of benign conditions such as benign proliferations, certain facial characteristics or subtle endocrine dysfunctions as well as malign developments such as melanoma and neurological complications. The risk for these complications strongly depends on the clinical phenotype. Magnetic resonance imaging (MRI) has a strong value in estimating the risk of these complications. A normal MRI of the central nervous system results in a lower risk of developing melanoma and neurological complications because of the thorough follow-up and early capture. Although there are various treatment modalities, a shift to more conservative treatment is seen. Little is known about the long term prognosis after treatment of CMN. This article tries to give a recommendation for treatment and follow-up of CMN based on the current literature.

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