Use of Preexpanded Forehead and Neck Skin in Case of Giant Facial Hairy Naevus: Planning and Technique

Author:

Sharma Mukesh Kumar1,Kumar Naveen2,Babu V. Suman1,Tiwari Vinay Kumar3

Affiliation:

1. Department of Burns, Plastic & Reconstructive Surgery, PGIMER & DR. R.M.L. Hospital, New Delhi, India

2. Department of Plastic Surgery, Lady Hardinge Medical College and Associated Hospital, New Delhi, India

3. Department of Burns, Plastic & Reconstructive Surgery, VMMC & Safdarjung Hospital, New Delhi, India

Abstract

AbstractA congenital nevi is a pigmented patch which requires complete surgical excision for cosmetic reasons. Here, we report a case of a patient with facial hairy pigmented lesion, occupying the right half of her face since birth, who underwent complete surgical excision and staged reconstruction utilizing, preexpanded forehead and neck skin. We used two rectangular tissue expanders with 150 and 300 cubic cm of volumes inserted in the forehead and the neck, respectively. The length of the expanders selected were equal to 1.2 to 1.5 times the length of their respective lesions, whereas the width of the base of the expanders were approximately similar to the width of their defects. It is concluded with this case report that tissue expansion provides a good cosmetic and anatomical correction to cover large defects, with adjacent skin having similar properties.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference16 articles.

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5. Tissue regeneration during tissue expansion and choosing an expander;K Agrawal;Indian J Plast Surg,2012

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