Divided Eyelid Nevus: A Lid-Sparing, Staged Surgical Approach

Jacobs, Sarah M.; Couch, Steven M.; Custer, Philip L.

doi:10.1016/j.ajo.2013.05.032

Cited by 12 publications

(3 citation statements)

References 21 publications

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“…Patients with nevus in the paranasal cheek region often present with cosmetic and functional concerns as well as worry regarding the risk for transformation to malignant melanoma. 9 The prominence and center position of cheek region decide it aesthetic importance as a whole. 6 The cheek region can be divided into 4 anatomical subunits: medial, lateral, zygomatic, and buccal, and the Skin graft or free flap can also reduce horizontal traction from adjacent tissues on the repair of paranasal defect.…”

Section: Discussionmentioning

confidence: 99%

Anchored Suture Technique for the Reconstruction of Paranasal Skin Defects Secondary to Melanocytic Nevus Excision

Sun

Huang

Lü

et al. 2021

Journal of Craniofacial Surgery

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To describe a modified anchored suture technique combined with varied flaps for the repair of paranasal skin defect secondary to melanocytic nevus excision. The feasibility and effectiveness of the technique were discussed. A total of 26 patients (10 male and 16 female) with an average age of 11.1 years were included in this retrospective study. All patients underwent the anchored suture technique. The subcutaneous tissue of the free margin of the cheek flap was sutured to the deep pyriform ligament. The local flaps were designed according to the size and shape of the defect. The diameter of the nevi ranged from 2.8 to 7.5 cm, with most being 3 to 5 cm (50%). Among the 26 patients, 17 patients underwent the anchored suture technique and nonadvancement flap, whereas the other 9 patients underwent the anchored suture technology and advancement flap with auxiliary incisions. Twenty-five patients had a symmetric nasal alar and unapparent scar and were satisfied with postoperative aesthetic outcomes. Thus, the anchored suture method combined with different flaps to repair paranasal defect is an effective and affordable technique to reconstruct paranasal tissue connections.

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Section: Discussionmentioning

confidence: 99%

Anchored Suture Technique for the Reconstruction of Paranasal Skin Defects Secondary to Melanocytic Nevus Excision

Sun

Huang

Lü

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…However, some surgeons have objections about this aggressive treatment because of the low rate of malignant transformations for small-to-medium divided nevi. 17 , 18 In consideration of the malignant transformation, unsettled cosmesis problems, and other pathological change after incomplete excision, 19 , 20 we insist that prophylactic complete surgical removal of the lesion is exceedingly important. In this study, the rapid change of the lesions in patients 1 and 5, the recurrent lesion in patient 2, and the postoperative pathologic examination of patients 1, 4, and 6 provide sufficient evidence for complete ablation.…”

Section: Discussionmentioning

confidence: 99%

“…An additional issue in deciding the treatment course is the selection of adopting a 1- or 2-stage surgery. As intense wound contracture and subsequent deformity may occur when the lesions are removed in 1-stage operations, 17 it is an established fact that the operation does not need to be completed in a single step, 21 especially for medium (1.5–20 cm) and large (>20 cm) types. Besides, the palpebral fissure would be at risk of becoming shorter, and the arc of its natural curve would convert to a straight line if the surgery is accomplished in a 1-stage procedure.…”

Section: Discussionmentioning

confidence: 99%