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多阶段组织扩张术用于小儿头皮黑素细胞痣的重建。

Multiple stage tissue expansion for reconstruction of scalp nevocellular nevus in pediatric age group.

作者信息

AlBurshaid Hiba, Alshehri Yasir Ali, AlAbdulrahman Lamya, AlJehani Reem, Fadaak Hussein

机构信息

Department of Plastic Surgery and Burn Unit, King Fahad University Hospital, AlKhobar, Saudi Arabia.

出版信息

GMS Interdiscip Plast Reconstr Surg DGPW. 2019 Apr 24;8:Doc08. doi: 10.3205/iprs000134. eCollection 2019.

DOI:10.3205/iprs000134
PMID:31275798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6545490/
Abstract

To present a rare case of giant congenital nevocellular nevus in a 7-year-old girl's scalp and to highlight our management steps and outcomes. An otherwise healthy 7-year-old girl presented to plastic surgery clinic with a giant congenital nevus (GCN) that covered almost her entire scalp that was treated successfully with tissue expander three times over a period of 14 months. A total of 34 cm width of skin, which comprised 78% of the patient's scalp, was removed. The patient was reassessed five years later with a great cosmetic outcome represented by a remarkable hair growth and near normal scalp appearance. Giant scalp nevocellular nevi in pediatric age group can be treated completely with tissue expanders more than twice to achieve near normal outcomes.

摘要

介绍一名7岁女童头皮巨大先天性黑素细胞痣的罕见病例，并强调我们的治疗步骤和结果。一名7岁健康女童因头皮几乎被巨大先天性黑素细胞痣（GCN）覆盖而就诊于整形外科诊所，在14个月内分三次成功使用组织扩张器进行治疗。共切除了宽度达34厘米的皮肤，占患者头皮的78%。五年后对患者进行复查，结果显示美容效果良好，头发生长显著，头皮外观接近正常。小儿年龄组的巨大头皮黑素细胞痣可以通过使用组织扩张器进行两次以上的治疗来完全治愈，以达到接近正常的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/3c07857257a7/IPRS-08-08-g-011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/fe3110eebd86/IPRS-08-08-t-001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/3d5d64b05726/IPRS-08-08-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/718d9647a874/IPRS-08-08-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/720091a35858/IPRS-08-08-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/4e037a9505e3/IPRS-08-08-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/09dbea8396bf/IPRS-08-08-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/483ac9850ca9/IPRS-08-08-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/eec174bac476/IPRS-08-08-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/0c84a113bdd6/IPRS-08-08-g-010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/3c07857257a7/IPRS-08-08-g-011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/fe3110eebd86/IPRS-08-08-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/45eceaae7e15/IPRS-08-08-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/23868c56904c/IPRS-08-08-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/3d5d64b05726/IPRS-08-08-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/718d9647a874/IPRS-08-08-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/720091a35858/IPRS-08-08-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/4e037a9505e3/IPRS-08-08-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/09dbea8396bf/IPRS-08-08-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/483ac9850ca9/IPRS-08-08-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/eec174bac476/IPRS-08-08-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/0c84a113bdd6/IPRS-08-08-g-010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d119/6545490/3c07857257a7/IPRS-08-08-g-011.jpg

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Melanoma risk in congenital melanocytic naevi.
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The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear.通过皮下球囊的渐进扩张来扩大皮肤区域；该方法用于为耳部次全重建获取皮肤。
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