AI Article Synopsis

  • The study aimed to evaluate how effective plastic surgery is in treating giant congenital melanocytic nevus (GCMN) through various surgical techniques.
  • A total of 20 patients with 44 lesions underwent procedures like serial excision, skin grafting, and tissue expansion, with outcomes assessed at 10 days and 6 months post-surgery.
  • Results showed that serial excision had the best outcomes, with most patients reporting positive results from skin grafting and tissue expansion as well, confirming that plastic surgery is a viable treatment for GCMN.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364729PMC
http://dx.doi.org/10.3889/oamjms.2019.058DOI Listing

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