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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(02): 221-224
DOI: 10.1055/s-0040-1721537
Case Report

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

Mukesh Kumar Sharma
1   Department of Burns, Plastic & Reconstructive Surgery, PGIMER & DR. R.M.L. Hospital, New Delhi, India
,
Naveen Kumar
2   Department of Plastic Surgery, Lady Hardinge Medical College and Associated Hospital, New Delhi, India
,
V. Suman Babu
1   Department of Burns, Plastic & Reconstructive Surgery, PGIMER & DR. R.M.L. Hospital, New Delhi, India
,
Vinay Kumar Tiwari
3   Department of Burns, Plastic & Reconstructive Surgery, VMMC & Safdarjung Hospital, New Delhi, India
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Abstract

A 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.

Keywords

congenital - nevi - expander


Publication History

Article published online:
30 November 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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