Safronov Vladimir, Guryanov Robert, Lomaya Marina
Department of Plastic Surgery, I.M. Sechenov First Moscow State Medical University Moscow, Russia.
Plast Reconstr Surg Glob Open. 2020 Apr 27;8(4):e2726. doi: 10.1097/GOX.0000000000002726. eCollection 2020 Apr.
Benign skin lesions of the face require appropriate surgical treatment. Giant pigmented skin lesions possess the high risk of malignancy which sometimes is not possible to diagnose preoperatively. Majority of the traditional techniques for lower lip and chin reconstruction were developed for the skin cancer resections and are extensively aggressive and disfiguring in case of benign lesions. Perhaps the less invasive approach based on local skin flaps would lead to better aesthetic and functional outcome. We present a case report of the 67-year-old patient who has passed through numerous unsuccessful attempts of correction of the giant nevus of the chin and lower lip area with continued growth. At the time of our surgery, lesion almost covered the whole chin and lower lip area. Appropriate unaffected skin margins excision was performed, and the defect was addressed with combination of traditional incision patterns with local skin flap technique. We believe that our approach provides a good aesthetic and functional outcome in benign lesions correction of the labiomental area.
面部良性皮肤病变需要适当的手术治疗。巨大色素沉着性皮肤病变具有很高的恶变风险，有时术前无法诊断。大多数传统的下唇和下巴重建技术是为皮肤癌切除而开发的，对于良性病变来说，这些技术具有很强的侵袭性且会造成毁容。也许基于局部皮瓣的侵入性较小的方法会带来更好的美学和功能效果。我们报告一例67岁患者的病例，该患者下巴和下唇区域的巨大痣经过多次矫正尝试均未成功，且病变持续生长。在我们进行手术时，病变几乎覆盖了整个下巴和下唇区域。我们进行了适当的无病变皮肤边缘切除，并结合传统切口模式和局部皮瓣技术修复缺损。我们认为，我们的方法在唇颏部区域良性病变的矫正中提供了良好的美学和功能效果。
