Shoukr, T., El Anwar, N., Shaker, E. (2020). 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, 44(2), 283-288. doi: 10.21608/ejprs.2020.112520
Tarek Shoukr; Noha M. El Anwar; Engy Seif E. Shaker. "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, 44, 2, 2020, 283-288. doi: 10.21608/ejprs.2020.112520
Shoukr, T., El Anwar, N., Shaker, E. (2020). '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, 44(2), pp. 283-288. doi: 10.21608/ejprs.2020.112520
Shoukr, T., El Anwar, N., Shaker, E. 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, 2020; 44(2): 283-288. doi: 10.21608/ejprs.2020.112520
Evaluation of Split Thickness Skin Graft Followed by Fractional CO2 Laser in Treatment of Facial Congenital Melanocytic Nevus
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.
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