Application of balloon dermatensia method in treatment of congenital giant pigmented nevi in children
DOI:
https://doi.org/10.11603/2414-4533.2020.1.10752Keywords:
balloon dermatensia method, congenital giant pigmented nevusAbstract
The aim of the work: to improve the oncological, functional and cosmetic results of the treatment of children with congenital giant pigmented nevi using stretched local flaps by means of dermatensia.
Materials and Methods. In the Oncohematology Department of the Vinnytsia Regional Children's Clinical Hospital, from 2014 to 2019, 286 children aged 1 to 18 years with congenital pigmented nevi of various localization and sizes were operated on. In all these children, 318 surgical interventions were performed, which was due to the proportion of congenital giant pigmented nevi and the impossibility of their complete removal in one surgical intervention in 12 patients. In this group of children aged 3 to 12 years, the method of endoexpander dermatotension was used, if necessary, with plastics of a significant area of skin defect.
Results and Discussion. In all 12 clinical cases, we obtained satisfactory cosmetic and functional results without signs of a violation of the microcirculation of the skin strand at all stages of treatment. Morphological studies at the treatment stages showed minor changes in the epidermis. Ultrasound in the mode of color Doppler mapping revealed that during the expander dermatensia, skin perfusion did not decrease, but increased, which indicates participation in the expansion of blood vessels of the skin.
References
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