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Excision of giant nevi in children--how should the wound be closed?
Annals of Plastic Surgery
|November 1, 1985
Insights
Excision of giant nevi in young children can cause surrounding structure distortion. Early surgical intervention for these large congenital moles is generally discouraged due to potential negative cosmetic and functional outcomes.
Area of Science:
- Dermatology
- Pediatric Surgery
- Plastic Surgery
Background:
- Giant nevi present significant cosmetic and functional challenges in children.
- Surgical excision and skin grafting are common treatment modalities for large congenital nevi.
Observation:
- Two pediatric cases involving giant nevi of the trunk treated in early childhood are presented.
- Both patients experienced cosmetic and functional deformities post-treatment.
Findings:
- Surgical excision and closure of giant nevi in young children can lead to distortion of surrounding anatomical structures.
- The presented cases suggest that early surgical intervention may not be the optimal approach.
Implications:
- Discourages early surgical excision for giant nevi in children due to potential for structural distortion.
- Highlights the need for careful consideration of timing and technique in managing pediatric giant nevi.
- Suggests alternative or delayed treatment strategies may be more beneficial for long-term outcomes.
Abstract:
The cases of two children with giant nevi of the trunk that were excised and closed in early childhood are presented. Both had cosmetic and functional deformities and were treated by scar excision and skin grafting. The 2 cases demonstrate that excision and closure of giant nevi in young children should be discouraged, as it can result in distortion of surrounding structures.