SURGICAL RECONSTRUCTION OUTCOMES IN THE TREATMENT OF CONGENITAL MELANOCYTIC NEVUS OF THE NASAL REGION
Main Article Content
Abstract
Objective: To evaluate the outcomes of reconstructive surgery for the treatment of congenital melanocytic nevus in the nasal region. Methods: This study employed a descriptive case series design, combining both prospective and retrospective analysis, conducted on 28 patients with congenital melanocytic nevus of the nose who underwent surgical treatment. Results: Ten days post-surgery, there were no complications related to bleeding or wound infection. The majority of patients showed no wound necrosis (89.3%) and exhibited good wound healing (89.3%). There were 3 cases of delayed wound healing, and 9 out of 28 patients experienced mild contracture of natural cavities. After three months, most surgical scars were a different color from the surrounding skin (67.9%), had a blurred appearance (67.9%), were level with the adjacent skin (53.6%), and showed no signs of deformation (71.4%). Furthermore, the majority of patients experienced no contracture of natural cavities (89.3%) and expressed satisfaction with the surgical process (92.8%). Conclusion: Surgical treatment of congenital melanocytic nevus in the nasal region demonstrates promising aesthetic outcomes and high patient satisfaction.
Article Details
Keywords
Congenital melanocytic nevus, nose, surgery, natural skin expansion, skin grafting.
References
2. Trưởng Quốc Sơn, Vũ Ngọc Lâm, Dương Mạnh Chiến, Phạm Thị Việt Dung. Kết quả điều trị nơ vi hắc tố bẩm sinh vùng mặt bằng phương pháp ghép da dày toàn bộ. Tạp chí Y học Việt Nam. 2023;1(530):13-18.
3. Elmelegy N, Elghamry S. Carbon Dioxide Cryotherapy for Treatment of Nasal and Perinasal Congenital Melanocytic Nevi. Ann Plast Surg. Aug 2020;85(2): 107-109. doi:10.1097/ sap.0000000000002145
4. Gu C, Lu L, Jin R, Luo X, Sun D. Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection. Journal of Craniofacial Surgery. 2021;32(8): e719-e724. doi: 10.1097/scs.0000000000007703
5. Souksavarn C, Sơn T, Thúy TTH, Hà DĐ. Kết quả phẫu thuật tạo hình nơ vi hăc tố bẩm sinh vùng mặt cổ. Tạp chí Y học Việt Nam. 2021;9(28-32)
6. Phạm Thị Việt Dung, Trịnh Thị Nguyệt. Kết quả phẫu thuật tạo hình điều trị nơ vi hắc tố bẩm sinh vùng mi mắt. Tạp chí Nghiên cứu Y học. 2023;172(11):112-120.
7. Vourc'h-Jourdain M, Martin L, Barbarot S. Large congenital melanocytic nevi: therapeutic management and melanoma risk: a systematic review. J Am Acad Dermatol. Mar 2013;68(3): 493-8.e1-14. doi:10.1016/j.jaad.2012.09.039
8. Leshem D, Gur E, Meilik B, Zuker RM. Treatment of congenital facial nevi. J Craniofac Surg. Sep 2005;16(5): 897-903. doi:10.1097/ 01.scs.0000179756.59778.9b