Clinical Analysis of Serial (Staged) Excision for Congenital Melanocytic Nevi: A Single-center Experience / 대한피부과학회지
Korean Journal of Dermatology
;
: 527-531, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-786281
ABSTRACT
BACKGROUND:
Serial (staged) excision of congenital melanocytic nevi (CMN) is an important treatment option for medium-sized CMN. However, few studies have investigated the outcomes of serial excision in detail.OBJECTIVE:
We report our experience regarding serial excision of CMN, including methods to effectively reduce the procedural stages and scar length.METHODS:
We retrospectively reviewed medical records of patients with CMN treated between 2008 and 2015; 33 patients (7 men and 26 women) underwent serial excision.RESULTS:
The CMN were located on the face (n=11), arms (n=6), legs (n=11), and other areas of the body (n=11), including the back (n=2), chest (n=1), deltoid region (n=1), and buttocks (n=1). The mean CMN area was 19.7 cm². The mean number of surgical stages was 2.2. The mean interval between surgeries was 10.6 months. A marginal S-shaped incision along both edges of the nevus was preferred over elliptical excision, to reduce scarring. Pulsed dye, erbiumyttrium–aluminum–garnet (YAG), neodymium-dopedYAG, and carbon dioxide fractional lasers were used to improve the final outcomes and minimize scarring.CONCLUSION:
Serial excision is an effective treatment option associated with greater patient satisfaction, particularly for medium-sized and hairy CMN. Conventional elliptical serial excision is associated with the formation of elongated scars and sacrifices normal skin adjacent to the lesion. The marginal S-shaped incision reduces scarring by dispersing mechanical tension on the scar without skin wastage. Compared with the elliptical excision method, the marginal S-shaped incision reduces the number of surgical stages and results in a cosmetically superior scar. Performing a marginal S-shaped incision is technically challenging in certain anatomical locations, such as the eyes, nose, and mouth. Therefore, it is necessary to combine this procedure with erbiumYAG and neodymium-dopedYAG ablation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Brazo
/
Piel
/
Tórax
/
Nalgas
/
Dióxido de Carbono
/
Nariz
/
Registros Médicos
/
Estudios Retrospectivos
/
Cicatriz
/
Satisfacción del Paciente
Tipo de estudio:
Estudio observacional
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Korean Journal of Dermatology
Año:
2019
Tipo del documento:
Artículo
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