Presentation, microsurgical therapy, and clinical outcomes in three cases of expanding melanonychia of the nail unit in children

Leclère, Franck Marie P; Mordon, Serge; Leroy, Marc; Lefebvre, Catherine; Schoofs, Michel (2011). Presentation, microsurgical therapy, and clinical outcomes in three cases of expanding melanonychia of the nail unit in children. Archives of orthopaedic and trauma surgery, 131(10), pp. 1453-7. Berlin: Springer 10.1007/s00402-011-1288-3

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The management of expanding melanonychia in childhood is controversial. Here, we present three cases and discuss their operating indications and reconstruction. Between January 1, 1995 and December 31, 2007, one boy and two girls, were operated for expanding melanonychia, involving the thumb, index finger or the middle finger. They were 2, 4, and 7 years at the time of surgery. A complete resection of the nail plate was performed followed by a direct finger reconstruction using a free short-pedicle vascularized nail flap of the toe. Histology showed a junctional nevus in all cases. The follow-ups were after 2, 3, and 5 years and without any complications or recurrence. Regarding reconstruction, the mean Foucher and Leclère score were, respectively, 17 and 16 points. It is concluded that for expanding melanonychia, in case of doubt, an examination of the entire lesion is necessary. Reconstruction of the nail unit after wide excision with nail plate ablation can be performed using microsurgery as discussed below. However, new guidelines on shave biopsy can make this microsurgical procedure obsolete.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Leclère, Franck-Marie

ISSN:

0936-8051

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:23

Last Modified:

28 Apr 2022 14:57

Publisher DOI:

10.1007/s00402-011-1288-3

PubMed ID:

21544642

Web of Science ID:

000294958000020

BORIS DOI:

10.48350/8178

URI:

https://boris.unibe.ch/id/eprint/8178 (FactScience: 213673)

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