Background: Congenital melanocytic nevi (CMN) have
medical, cosmetic and psychological effects on the cases.
Objective: To evaluate the outcome of combined split
thickness skin graft (STSG) and fractional CO2 laser in
treatment of facial CMN.
Material and Methods: This clinical study was carried
out on 8 cases with facial hairy CMN. STSG was harvested
from the lateral side of the thigh then 5 sessions with 1 mon
apart of fractional CO2 laser was performed after healing.
Results: Eight cases with facial CMN were included in
the study; 6 female cases and 2 male cases. The median age
was 5.5y (4-12y). The median follow-up time was 1.5 years
(6 month-2y). There was no residual, recurrence nor malignant
transformation occurred during the follow-up period. Only
one case developed keloid at the site of graft donation and
another case developed infection and the healing was delayed.
All cases were satisfied. All cases were grade 4 (near total
improvement) at the end of the study.
Conclusion: STSG can effectively excise the facial CMN
reducing the risk of malignant transformation and followed
by fractional CO2 laser to enhance the cosmetic appearance
with minimal complications.