Kongenitaler melanozytärer Riesennävus am Rücken eines Säuglings: Frühexzision mittels Powerdehnung und Ergebnis nach 14 Jahren

Description

Helmut Breuninger and Hans-Martin Häfner report, in German, the fourteen-year outcome of removing a giant birthmark from an infant's back by slowly stretching the surrounding skin. Opinion is divided on whether such giant congenital melanocytic nevi should be removed at all; size, site, surgical experience, and parental wishes weigh in. Their clinic's method excises strips at the nevus edge in stages. A high-tension suture technique, developed by the first author, lets healthy skin gradually cover the defect.

The paper documents one child's full course, from infancy to the result fourteen years on. It includes planning details that make the method work, such as generous local anesthesia infants tolerate well. The authors admit the approach has failed in some other children. They argue the case supports early, staged removal of areas at raised melanoma risk when anatomy allows, judged case by case.

Catalog record

Source: https://europepmc.org/articles/PMC11636955