[Use of iterative expansion in the early surgical treatment of complex nevi of the head in children].
Extensive of congenital pigmented nevi to the face in an infant is an indication for early exeresis to prevent the risk of degeneration. Search for the best esthetic result has led many authors to healthy skin to a maximum, often relying on tissue expansion. The aim of this study was to present the combination of two expansion techniques, prosthetic expansion and differed natural expansion. Five infants with congenital pigmentary nevi extending to more than 50% of a facial anatomic unit were treated. Total treatment was achieved in all patients with three or four procedures. By combining different expansion techniques early treatment can be proposed with good esthetic results and moderate cost.
Bennaceur
S
S
Service de Chirurgie Maxillo-faciale Pédiatrique, Hôpital Robert Debré, Paris.
Buisson
T
T
Berdah
S
S
Teillac-Hamel
D
D
Couly
G
G
D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D004954:Esthetics; D005153:Facial Neoplasms / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D009508:Nevus, Pigmented / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D010347:Patient Care Planning; D012878:Skin Neoplasms / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D015626:Tissue Expansion / Q000191:economics / Q000379:methods*; D015625:Tissue Expansion Devices; D016896:Treatment Outcome