title: [Tissular expansion in giant congenital nevi treatment].
abstract: Surgical management of giant melanotic naevi remains a surgical challenge. Tissue expansion provides tissue of the same quality for the repair of defects. The aim of this study is to review tissular expansion for giant melanotic naevi.
  
  
  METHODS
  We conducted a retrospective study from 2000 to 2012. All children patients who underwent a tissular expansion for giant congenital naevi had been included. Epidemiological data, surgical procedure, complication rate and results had been analysed.
  
  
  RESULTS
  Thirty-tree patients had been included; they underwent 61 procedures with 79 tissular-expansion prosthesis. Previous surgery, mostly simple excision had been performed before tissular expansion. Complete naevus excision had been performed in 63.3% of the cases. Complications occurred in 45% of the cases, however in 50% of them were minor. Iterative surgery increased the complication rate.
  
  
  CONCLUSIONS
  Tissular expansion is a valuable option for giant congenital naevus. However, complication rate remained high, especially when iterative surgery is needed.
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Nguyen Van Nuoi
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Francois-Fiquet
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Diner
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Sergent
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Zazurca
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Franchi
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Buis
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France; Inserm, UMRS 872, équipe 5, 75006 Paris, France.
authors.forename: M-P
authors.initials: MP
authors.lastname: Vazquez
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Inserm, UMRS 872, équipe 5, 75006 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Picard
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, Necker hôpital Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France; Inserm, UMRS 872, équipe 5, 75006 Paris, France. Electronic address: natacha.kadlub@nck.aphp.fr.
authors.forename: N
authors.initials: N
authors.lastname: Kadlub
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D009508:Nevus, Pigmented / Q000151:congenital* / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000151:congenital* / Q000473:pathology / Q000601:surgery*; D015626:Tissue Expansion
keywords: Children plastic surgery; Chirurgie plastique pédiatrique; Congenital naevi; Expandeurs; Expansion tissulaire; Nævus congénitaux; Tissular expansion