Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (2): 71-75.doi: 10.6040/j.issn.1671-7554.0.2020.1253

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Cosmetic effects of staged resection of congenital facial nevus combined with external dilatation in 78 children

ZHOU Zifu1, ZHANG Jin2, WANG Song1, LI Zhiyu1, YE Xiaoyun1, BI Jianhai2, XU Guangqi2, ZHANG Jian2, LYU Renrong2, HUO Ran1,2   

  1. 1. Department of Plastic Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250021, Shandong, China;
    2. Department of Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2021-03-05

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Abstract: Objective To explore the effects of staged excision combined with external dilatation in children with congenital facial nevus. Methods A retrospective analysis was performed on the clinical data of 78 children with congenital facial nevus who visited hospital in 2019. The children were divided into 4 groups according to the treatment methods: one-stage excision group(group A, n=16), staged excision group(group B, n=14), one-stage excision combined with external dilatation group(group C, n=27), staged excision combined with external dilatation(group D, n=21). The ratio of scar area to original skin lesion area and the differences in final scar width among different groups were analyzed with independent t-test, the average scar widths in different facial regions were compared with descriptive analysis. Results (1) Analysis of the ratio of scar area to original skin lesion area showed that group B had more significant reduction than group A (P=0.02), and group D had more significant reduction than group C(P<0.001). (2) Group C had smaller width of scar than group A(P<0.001), and group D had smaller width of scar than group B(P<0.001). (3) The average scar width in group D was the smallest. Conclusion Staged excision combined with external dilatation can achieve good cosmetic results in the treatment of congenital facial nevus and is worthy of clinical application.

Key words: Children, Facial nevus, External dilatation, Staged excision, One-stage excision

CLC Number: 

  • R622
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