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Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids

A 20-year-old girl presented with a large pigmented lesion over the temporal aspect of left lateral canthus involving the lateral one-third of both eyelids, since birth. A slow increase in its size had been noticed for the past 2 years. On examination, a hairy nevus measuring 34 mm × 22 mm was notic...

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Autores principales: Singh, Manpreet, Gautam, Natasha, Kaur, Manpreet, Zadeng, Zoramthara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700600/
https://www.ncbi.nlm.nih.gov/pubmed/29133658
http://dx.doi.org/10.4103/ijo.IJO_407_17
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author Singh, Manpreet
Gautam, Natasha
Kaur, Manpreet
Zadeng, Zoramthara
author_facet Singh, Manpreet
Gautam, Natasha
Kaur, Manpreet
Zadeng, Zoramthara
author_sort Singh, Manpreet
collection PubMed
description A 20-year-old girl presented with a large pigmented lesion over the temporal aspect of left lateral canthus involving the lateral one-third of both eyelids, since birth. A slow increase in its size had been noticed for the past 2 years. On examination, a hairy nevus measuring 34 mm × 22 mm was noticed involving left eyelid skin, the mucocutaneous junction (MCJ), palpebral conjunctiva, and lateral canthus. The surface was irregularly thick and covered with long, thick, and pigmented hairs. A clinical diagnosis of kissing nevus of eyelids was kept and a surgical resection with reconstruction planned. A customized full-thickness skin graft (FTSG) and amniotic membrane grafts (AMGs) were used for the reconstruction of cutaneous and MCJ, respectively. Histopathology showed the features of junctional nevus. At 4 months of follow-up, a well taken FTSG and healthy/sharp MCJ were noticed with no recurrence. We advocate a possible role of AMG, particularly in the reconstruction of the conjunctival mucosa and MCJ.
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spelling pubmed-57006002017-12-01 Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids Singh, Manpreet Gautam, Natasha Kaur, Manpreet Zadeng, Zoramthara Indian J Ophthalmol Brief Communications A 20-year-old girl presented with a large pigmented lesion over the temporal aspect of left lateral canthus involving the lateral one-third of both eyelids, since birth. A slow increase in its size had been noticed for the past 2 years. On examination, a hairy nevus measuring 34 mm × 22 mm was noticed involving left eyelid skin, the mucocutaneous junction (MCJ), palpebral conjunctiva, and lateral canthus. The surface was irregularly thick and covered with long, thick, and pigmented hairs. A clinical diagnosis of kissing nevus of eyelids was kept and a surgical resection with reconstruction planned. A customized full-thickness skin graft (FTSG) and amniotic membrane grafts (AMGs) were used for the reconstruction of cutaneous and MCJ, respectively. Histopathology showed the features of junctional nevus. At 4 months of follow-up, a well taken FTSG and healthy/sharp MCJ were noticed with no recurrence. We advocate a possible role of AMG, particularly in the reconstruction of the conjunctival mucosa and MCJ. Medknow Publications & Media Pvt Ltd 2017-11 /pmc/articles/PMC5700600/ /pubmed/29133658 http://dx.doi.org/10.4103/ijo.IJO_407_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Brief Communications
Singh, Manpreet
Gautam, Natasha
Kaur, Manpreet
Zadeng, Zoramthara
Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title_full Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title_fullStr Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title_full_unstemmed Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title_short Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
title_sort role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700600/
https://www.ncbi.nlm.nih.gov/pubmed/29133658
http://dx.doi.org/10.4103/ijo.IJO_407_17
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