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J Dermatol Surg Oncol · Dec 1993
Case ReportsPrimary reconstruction of congenital facial lesion defects with tissue expansion.
- J L Frodel and D C Whitaker.
- Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242.
- J Dermatol Surg Oncol. 1993 Dec 1; 19 (12): 1110-6.
BackgroundCongenital facial lesions may require surgical intervention to correct deformity or to decrease the potential for malignant degeneration.ObjectiveHemangiomata and melanocytic and sebaceous nevi are among the most common congenital facial defects. The techniques and outcome of serial tissue expansion in the management of facial lesions were evaluated.MethodsSeven pediatric patients had congenital facial defects treated with tissue expansion and subsequent excision and reconstruction.ResultsAll patients had a satisfactory outcome. Complications are reviewed, and in this patient population were minor.ConclusionsTissue expansion has a role in surgical management of congenital facial lesions. Staged excision, skin grafting and nonintervention are also options which must be individualized to the case at hand.
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