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Main Page > Head and neck > Surgical treatment > Skin of the head and neck

Skin of the head and neck

Removal of birthmarks

 

Birthmarks are usually removed surgically but in some cases this may be performed by laser or electrocoagulation.

Surgical treatment consists in fusiform excision of a lesion directed along the so-called Langer’s line with a margin of approx. 1 mm and full thickness of the skin, and afterwards suturing the cavity.

Such procedure is necessary if birthmarks are located deeper, e.g. blue or hairy birthmarks (deeply located hair follicles that may contain melanocytes). If the birthmarks are located superficially (from papillary layer to dermis), tangent excision, without full thickness of the skin should be taken into consideration, often together with electrodesiccation of the cavity bottom and with secondary healing by epithelialization. Such procedure allows for obtaining aesthetic, flat scar. Selection of method depends on the nature of the lesion, its size and location. During a consultation, a surgeon assesses the birthmarks, gathers history which is often very helpful in determining the lesion type and makes a decision which choice would be the most appropriate.

 

Removal of malignant birthmarks

Malignant birthmarks are usually removed surgically. Before the procedure and during consultation, surgeon discusses with a patient details of the procedure. The majority of procedures is performed under general anaesthesia. After the resection, surgeon stitches the patient and places dressing which are removed 5-14 days after the surgery. Routine postoperative procedures include histological assessment of the segment of the lesions resected during the procedure. It allows to assess the degree of malignancy of the lesion and influences further decisions on the treatment. For several days after the treatment, skin should not be stretched at the site and rapid movements and wetting the dressing should be avoided. Scar will be initially visible but after some time it will face and decrease. It is important to refrain from sunbathing it for 6 months. It is impossible to resect and remove skin lesions without leaving a mark. However, often this ends in a slightly visible mark.

 

Reconstruction of postresective defects

Postresective defects usually occur in areas from which cancer was resected. Reconstruction of such defects often consists in transplanting tissues from another area so that proper construction of the area subjected to resection is retain. Postresective defects may be rebuild by moving and sewing adjacent soft tissues if the defects are small; by using dermomuscular pedicle flaps which have their own blood supply if the defects in soft tissues are extensive; by using free flaps of skin, muscle and bone, which vessels are microsurgically connected with face vessels of the reconstructed area. If the defects of soft tissues and bones are extensive, epithesis, i.e. prosthesis, which restore missing parts of tissues, is placed in the dental implants in postresective defects in the jaw. The choice of reconstructive methods is determined during the consultation with the surgeon after performing all necessary examinations which allow to assess the extensiveness of the defect and allow to select the best method.

 

Surgical removal of birthmarks

Surgical treatment usually consists in fusiform excision of a lesion directed along the so-called Langer’s line with a margin of approx. 1 mm and full thickness of the skin, and afterwards suturing the cavity. Such procedure is necessary if birthmarks are located deeper, e.g. blue or hairy birthmarks (deeply located hair follicles that may contain melanocytes). If the birthmarks are located superficially (from papillary layer to dermis), tangent excision, without full thickness of the skin should be taken into consideration, often together with electrodesiccation of the cavity bottom and with secondary healing by epithelialization. Such procedure allows for obtaining aesthetic, flat scar. Selection of method depends on the nature of the lesion, its size and location. During a consultation, a surgeon assesses the birthmarks, gathers history which is often very helpful in determining the lesion type and makes a decision which choice would be the most appropriate.

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Klinika Optimum Warszawa - strona zrealizowana przez Esstet

Program Regionalny Mazowsze BGK Unia Europejska

Project is co-financed by the EU.