Personal experience with reconstruction of congenital pigmented nevi

Introduction: Surgical excision is the treatment of choice for congenital pigmented nevi. When confronted with lesions comprised of large surface areas that preclude primary approximation of margins, subcutaneous expansion of adjacent tissue and subsequent expanded reconstruction of the area excised is the method of choice. Methods: In this article, the authors provide an overview of the literature and present selected cases of their experience with tissue expansion in the pediatric population, covering different anatomical locations and their respective challenges. Conclusion: If performed with careful attention to several key points, tissue expansion can provide a safe and effective method by which one can satisfactorily reconstruct exposed areas remaining after large nevi excision.

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