Results of maxillofacial defect reconstruction after resection of congenial melanocytic nevus by skin grafting

  • Nguyễn Quang Đức 108 Military Central Hospital
  • Lưu Phương Lan 108 Military Central Hospital

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Keywords

Congenital melanocytic nevus, skin graft, maxillofacial

Abstract

Objective: To evaluate of the results of maxillofacial defect reconstruction after resection of congenital melanocytic nevus. Subject and method: Research objectives consist of 23 patients (including 13 male patients and 10 female patients) who underwent extensive congenital melanocytic nevus resection at the Centre for Craniofacial and Plastic Surgery- 108 Military Central Hospital, from June 2016 to June 2021. Research method: Prospective method. Result: Congenital melanocytic nevus ranges in size from 3.5 × 4cm to 18 × 22cm. Common locations are cheeks (69.6%) and nose (60.9%). 82.6% of patients suffer from the disease which appears in both cheek and nose. Grafts are detached from inguinal folds (69.5%), posterior auricular (26.1%), hypogastrium region (4.4%). The survival rate of skin grafts is from 95% to 100%. Treatment results at a good level is 39.2%; medium level is 47.8%, and bad level is nearly 13.0%. The median follow-up was one year with no patients developing melanocytic cancel. Conclusion: Skin grafting is a suitable technique for maxillofacial defect reconstruction after resection of congenital melanocytic nevus, especially giant defects. Simple technique and high success rate are reported.

Article Details

References

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