کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4119617 1270358 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Giant naevus, giant excision, eleg(i)ant closure? Reconstructive surgery with Integra Artificial Skin® to treat giant congenital melanocytic naevi in children
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Giant naevus, giant excision, eleg(i)ant closure? Reconstructive surgery with Integra Artificial Skin® to treat giant congenital melanocytic naevi in children
چکیده انگلیسی

SummaryBackgroundThe optimal surgical treatment of giant congenital melanocytic naevi remains a considerable challenge in reconstructive surgery. None of the currently available techniques is universally applicable. The goal of this pilot study was to test Integra Artificial Skin® (Integra) in the surgical treatment of giant congenital melanocytic naevi.MethodsBetween May 2000 and March 2004, Integra was used in 12 children (n = 12; aged seven months to 11 years, mean 3.8 years). Giant congenital melanocytic naevi covered 1–12% of the total body surface area (mean 4.2%) located over the trunk in 50%, and over face and extremities in 25% each.ResultsIn eight children, Integra implantation was primarily successful; in four patients a partial or complete removal and re-implantation was necessary due to complications. The final take rate of Integra ranged from 95–100%, except for one patient with a take rate of 30% (mean 93%). Second stage split-thickness skin grafting yielded take rates from 95–100% (mean 98%). Functional and cosmetic outcome was rated excellent in 58%, good in 25% and fair in 17% (follow-up six months to four years, mean 2.2 years).ConclusionsThese results suggest that Integra is a new and valid method to successfully treat giant congenital melanocytic naevi in early childhood in a definitive manner and with high-quality results.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 63, Issue 4, April 2010, Pages 610–615
نویسندگان
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