[Natural skin expansion. Applications to the surgery of nevus of the head and neck in children].
The surgical treatment of congenital naevi of the head and neck often require the use of expansion prostheses. The high risk of complications in children such as infection, necrosis, prosthetic exposure, has led the authors to propose a new therapeutic approach, consisting of deferred cutaneous expansion, which uses the skin tension as an expansion motor. This allows repair in one or several surgical phases, of large defect using the skin of the same anatomical unit, with good esthetic results. The authors describe the three main techniques applied to surgery of naevi of the head and neck: simple excision-suture, excision-unfolding and deforming excision.
Bennaceur
S
S
Unité de Chirurgie Plastique Pédiatrique, Groupe hospitalier Necker-Enfants-Malades, Paris, France.
Berdah
S
S
Amoric
J C
JC
Levan
P
P
Chrétien-Marquet
B
B
D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000473:pathology; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009506:Nevus / Q000601:surgery*; D019736:Prostheses and Implants; D012878:Skin Neoplasms / Q000601:surgery*; D013536:Suture Techniques