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Congenital melanocytic nevi
Gillian Lindzon1, Ronald M Zuker
1Department of Surgery, The Hospital for Sick Children, University of Toronto, Ontario, Canada.
The Journal of Craniofacial Surgery
|November 6, 2003
Summary
Congenital nevi are birthmarks that can be hairy. This case highlights a boy with a hairy nevus requiring surgical excision and occupational therapy for optimal scar healing.
Area of Science:
- Dermatology
- Pediatric Surgery
- Occupational Therapy
Background:
- Congenital nevi are pigmented skin lesions present at birth.
- While often benign, they carry a risk of malignant transformation, necessitating monitoring or excision.
- Hairy nevi, a subtype, present unique cosmetic and management considerations.
Observation:
- A young boy presented with a large, hairy congenital nevus on his face and neck.
- The nevus required two surgical excisions.
- Post-operatively, the incision site dehisced due to physical activity.
Findings:
- Delayed wound healing occurred following surgical intervention.
- The dehiscence complicated the aesthetic outcome of the scar.
- Occupational therapy intervention was initiated to manage the scar.
Implications:
- This case underscores the importance of post-operative care and patient education in preventing wound complications.
- It highlights the role of multidisciplinary care, including occupational therapists, in optimizing scar healing and cosmetic results.
- Management of congenital nevi requires a balance between oncologic safety and aesthetic considerations, particularly in pediatric patients.