Evaluation of Split Thickness Skin Graft Followed by Fractional CO2 Laser in Treatment of Facial Congenital Melanocytic Nevus | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 7, Volume 44, Issue 2, April 2020, Page 283-288 PDF (7.72 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2020.112520 | ||||
View on SCiNiTO | ||||
Authors | ||||
Tarek Shoukr* 1; Noha M. El Anwar2; Engy Seif E. Shaker2 | ||||
1The Department of Plastic Surgery, Faculty of Medicine, Tanta University | ||||
2The Department of Dermatology & Venereology, Faculty of Medicine, Tanta University | ||||
Abstract | ||||
Background: Congenital melanocytic nevi (CMN) have medical, cosmetic and psychological effects on the cases. Objective: To evaluate the outcome of combined split thickness skin graft (STSG) and fractional CO2 laser in treatment of facial CMN. Material and Methods: This clinical study was carried out on 8 cases with facial hairy CMN. STSG was harvested from the lateral side of the thigh then 5 sessions with 1 mon apart of fractional CO2 laser was performed after healing. Results: Eight cases with facial CMN were included in the study; 6 female cases and 2 male cases. The median age was 5.5y (4-12y). The median follow-up time was 1.5 years (6 month-2y). There was no residual, recurrence nor malignant transformation occurred during the follow-up period. Only one case developed keloid at the site of graft donation and another case developed infection and the healing was delayed. All cases were satisfied. All cases were grade 4 (near total improvement) at the end of the study. Conclusion: STSG can effectively excise the facial CMN reducing the risk of malignant transformation and followed by fractional CO2 laser to enhance the cosmetic appearance with minimal complications. | ||||
Keywords | ||||
Congenital melanocytic nevus; Split thickness skin graft; Fractional CO2 laser; Face | ||||
References | ||||
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