• Martha Isabel Romo Muñoz, Sánchez Galán Alba A Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain., Miriam Miguel, Vanesa Nuñez Cerezo, Bryant Noriega Rebolledo, Mariela Dore, Triana Junco Paloma P Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain., Saturnino Barrena, Mercedes Diaz, and Juan Carlos Lopez-Gutierrez.
• Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain.
• Eur J Pediatr Surg. 2018 Feb 1; 28 (1): 105-108.

Objective One of the principal objectives in treatment of facial nevus is to minimize psychological damage and encourage the child's schooling by the best possible cosmetic result. There are several therapeutic techniques: grafts, flaps, dermal regenerator, and tissue expanders.Materials And Methods We reviewed 10 patients with facial nevus higher than 10 cm treated in the past 8 years. Our treatment protocol includes serial expander implant to remove everything that does not involve the eyelid and nasal pyramid. Ten patients were included, between 8 and 36 months of age. A median of 4 (2-6) surgeries were conducted, and the number of implanted expanders was 1 to 3 in each session. There were only minor complications in two patients, infection that responded to antibiotic therapy and minimal dehiscence of incision forcing resuturing. The median follow-up was 1.6 (1.3-3.4) years.Conclusion Tissue expansion has become in recent years the treatment of choice for facial nevus in children, obtaining the best aesthetic result because the defect is covered with similar characteristics in color, texture, and relief skin. It is essential that the reconstruction is done by specialized units and we recommend complete surgical excision before starting school.Georg Thieme Verlag KG Stuttgart · New York.

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