title: [Current place of curettage in the management of giant congenital nevi: report of 29 patients].
abstract: METHODS
  The management of giant nevi remains discussed to date. Curettage, early superficial technique, allows a lightening of the lesions. We wanted to define the current interest in its use, from results obtained after 20 years of experience.
  
  
  METHODS
  Twenty-nine patients were treated by curettage between 1991 and 2011. Surgery consisting of excision of the superficial dermis was performed between the 1st and 7th week of life in an average of 1.8 procedures. The cosmetic result was judged subjectively.
  
  
  RESULTS
  Healing was achieved in 7 days. We noted a few local complications but no general complications. The aesthetic results, with initial variable lightening, induced an overall parental satisfaction in 100 % of cases. A secondary heterogeneous and varying pigmentation was observed in all cases.
  
  
  CONCLUSIONS
  To date, we believe that curettage is indicated for the treatment of giant nevi in some localization difficult to treat by conventional techniques (eyebrow, those associated with many satellite nevi) or those with a psychological impact too important to support a therapeutic delay.
authors.affiliation: Service de chirurgie pédiatrique, CHU de Poitiers, 2 rue de la Milétrie, Poitiers, France. marie-eve.gatibelza@wanadoo.fr
authors.forename: M-E
authors.initials: ME
authors.lastname: Gatibelza
authors.forename: D
authors.initials: D
authors.lastname: Denis
authors.forename: J
authors.initials: J
authors.lastname: Bardot
authors.forename: D
authors.initials: D
authors.lastname: Casanova
authors.forename: N
authors.initials: N
authors.lastname: Degardin
mesh_terms: D003475:Curettage; D004954:Esthetics; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009508:Nevus, Pigmented / Q000151:congenital / Q000601:surgery*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000151:congenital / Q000601:surgery*