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Simplified management of a giant forehead congenital nevus allows for early reconstruction

We report simplified surgical management of giant congenital forehead nevus that customarily requires the use of tissue expander for complete excision. Commencing treatment at the age of 3 months, the TopClosure tension relief system (TRS) was applied as an external tissue expander allowing preopera...

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Autores principales: Topaz, Moris, Gurevich, Michael, Ashkenazi, Itamar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359177/
https://www.ncbi.nlm.nih.gov/pubmed/32665278
http://dx.doi.org/10.1136/bcr-2019-234164
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author Topaz, Moris
Gurevich, Michael
Ashkenazi, Itamar
author_facet Topaz, Moris
Gurevich, Michael
Ashkenazi, Itamar
author_sort Topaz, Moris
collection PubMed
description We report simplified surgical management of giant congenital forehead nevus that customarily requires the use of tissue expander for complete excision. Commencing treatment at the age of 3 months, the TopClosure tension relief system (TRS) was applied as an external tissue expander allowing preoperative skin stretching by mechanical creep. This was followed by partial excision of the nevus. Intraoperative stress-relaxation allowed further expansion of the skin. Postoperative wound closure was secured with the aid of the TRS. Repeated, six simple staged excisions of the forehead lesion and a minor skin graft to the eyelid part, allowed for delayed primary closure of the entire lesion by the age of 2. This simple alternative approach, which allows the early start and early conclusion of the reconstructive process, should be considered as the primary option in the treatment of these patients.
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spelling pubmed-73591772020-07-16 Simplified management of a giant forehead congenital nevus allows for early reconstruction Topaz, Moris Gurevich, Michael Ashkenazi, Itamar BMJ Case Rep Innovations in Treatment We report simplified surgical management of giant congenital forehead nevus that customarily requires the use of tissue expander for complete excision. Commencing treatment at the age of 3 months, the TopClosure tension relief system (TRS) was applied as an external tissue expander allowing preoperative skin stretching by mechanical creep. This was followed by partial excision of the nevus. Intraoperative stress-relaxation allowed further expansion of the skin. Postoperative wound closure was secured with the aid of the TRS. Repeated, six simple staged excisions of the forehead lesion and a minor skin graft to the eyelid part, allowed for delayed primary closure of the entire lesion by the age of 2. This simple alternative approach, which allows the early start and early conclusion of the reconstructive process, should be considered as the primary option in the treatment of these patients. BMJ Publishing Group 2020-07-13 /pmc/articles/PMC7359177/ /pubmed/32665278 http://dx.doi.org/10.1136/bcr-2019-234164 Text en © BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Innovations in Treatment
Topaz, Moris
Gurevich, Michael
Ashkenazi, Itamar
Simplified management of a giant forehead congenital nevus allows for early reconstruction
title Simplified management of a giant forehead congenital nevus allows for early reconstruction
title_full Simplified management of a giant forehead congenital nevus allows for early reconstruction
title_fullStr Simplified management of a giant forehead congenital nevus allows for early reconstruction
title_full_unstemmed Simplified management of a giant forehead congenital nevus allows for early reconstruction
title_short Simplified management of a giant forehead congenital nevus allows for early reconstruction
title_sort simplified management of a giant forehead congenital nevus allows for early reconstruction
topic Innovations in Treatment
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359177/
https://www.ncbi.nlm.nih.gov/pubmed/32665278
http://dx.doi.org/10.1136/bcr-2019-234164
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