Giant congenital nevi of the scalp and forehead treated by skin expansion.

L. Vaienti, L. Masetto, D. Davanzo, A. Marchesi, G. Ravasio

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Abstract

Congenital giant melanocytic nevi of the scalp and forehead are rare lesions present at birth. These lesions are associated with risk of malignant transformation, but they primarily represent a psychological problem to both patient and parents and merit early excision and reconstruction. In this study we report our own experience: seven patients, aged 8 months to 9 years, with congenital pigmented nevi involving forehead and scalp, and a 4-year old patient with congenital pigmented nevus of periorbital region and nose were treated successfully with excision and expanded skin flap reconstructions. The mean expansion procedures were 2 (range, 1 to 3), with an average of 8,8 injections for each expansion procedure (range, 6 to 11). In only one patient simultaneous expanders were placed in the scalp and forehead. Follow-up ranged from 4 months to 15 years. We had no rupture, extrusion or infection of the skin expanders. Complications included eyebrow ptosis and asymmetry in two patients underwent correction at a final procedure. In our opinion tissue expansion is an excellent technique for the treatment of giant nevi of the scalp and forehead because it offers the best aesthetic and functional outcomes.

Original languageEnglish
Pages (from-to)98-101
Number of pages4
JournalPediatria Medica e Chirurgica
Volume33
Issue number2
Publication statusPublished - Mar 2011

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Vaienti, L., Masetto, L., Davanzo, D., Marchesi, A., & Ravasio, G. (2011). Giant congenital nevi of the scalp and forehead treated by skin expansion. Pediatria Medica e Chirurgica, 33(2), 98-101.