Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (5): 450-.

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Discussion on application and related issues of skin soft tissue expansion in treatment of congenital giant nevus

  

  • Online:2023-10-09 Published:2023-10-31

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Abstract:

Objective　To summarize the curative effect of congenital giant nevus after transcutaneous soft tissue expansion.
Methods　In the past 9 years (July 2010 to September 2019), 28 patients with congenital giant nevus were treated and repaired
by single/multiple one-stage expansion of head, trunk and limbs followed by two-stage flap repair. The expander was placed in
stage I, and when the skin and soft tissue were fully expanded, the expander was removed, and the giant nevus on the head, face,
trunk and limbs was removed. Skin flaps were designed according to the size and shape of the giant nevus to completely repair
the defect. Results　In 28 cases, the area of giant nevus was about 13 cm×12 cm to 43 cm×33 cm, all of which were com
pletely resected. One case of hematoma and three cases of infection were improved after active treatment, and the flap transfer
was not affected. After follow-up for more than half a year, all the flaps survived well and no obvious contracture was observed.
The color was similar to normal skin, and no recurrence was observed. Conclusion　Congenital giant nevus treated by skin soft
tissue expansion is satisfactory and worthy of promotion.

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