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Cryocarboxy surgery for the aesthetic removal of congenital melanocytic nevi types I, II, and III

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

It is still debatable how congenital melanocityc nevi (CMN) should be treated. Among the treatment options are chemical peeling, partial-thickness and full-thickness excisions of the lesions, dermabrasion, curettage, and laser therapy. Any of the aforementioned methods will lessen the total number of melanocytes; however, the results are usually unsatisfactory. The authors of this study set out to assess the effectiveness of cryocarboxy surgery in the treatment of CMN types II, III, and I. They looked at the histopathological alterations brought on by the use of this therapeutic approach in various forms of CMN.

Methods

Between January 2012 and April 2021, 292 patients with CMNs of various sizes participated in this study. There are three different types of congenital melanocytic nevi. Among the patients’ CMN were 169 as type I (non-hairy), 84 as type II (hairy), and 39 as type III (hypertrophic type). All cases with CMN described in this study were treated with cryocarboxy surgery. In every instance, carbon dioxide has been utilized as the cryogen.

Results

Clinical assessment showed excellent results in 185 (63.4%) patients, good results in 91 (31.2%) patients, and fair results in 16 (5.4%) patients, and no poor results were reported.

Conclusions

Congenital melanocytic nevi of various forms, patients with diverse skin types, and CMNs of various colors, all can be treated with cryocarboxy surgery safely. Cryocarboxy surgery stays away from all the problems with conventional surgery.

Level of evidence: Level IV, therapeutic study.

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Data availability

We confirm that the data supporting the findings of this study are available within the article and at our hospital also.

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Acknowledgements

I acknowledge my colleagues Professor Mostafa Elsonbaty, Assiut University, Professor Abdelnaser Elnagar, Beni Sweif University, Professor Alaa Elsadek, Zagzazeg University, and nursing staff at Tanta University Hospital for their help during all steps of this work.

Funding

No funds were taken from anyone, including the authors, and/or patients. We did not receive any financial or material support or remuneration for the study.

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Authors and Affiliations

  1. Department of Plastic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

    Nader Gomaa Elmelegy

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  1. Nader Gomaa Elmelegy
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Contributions

The author did the study design, performance of surgery, and manuscript preparation.

Corresponding author

Correspondence to Nader Gomaa Elmelegy.

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Ethical approval

All the steps of the procedures performed in this study were following the requirements of the institutional, national research committee, and with the 1964 Helsinki declaration and its later amendments or ethical standards. The rules and principles of ethical and professional conduct have been followed in this study. This article was approved by Tanta University’s Ethical Committee (2011/11/29).

Patient consent

Informed consent was taken from all patients who participated in the study and additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Nader Gomaa Elmelegy declares no conflict of interest..

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Elmelegy, N.G. Cryocarboxy surgery for the aesthetic removal of congenital melanocytic nevi types I, II, and III. Eur J Plast Surg 46, 609–618 (2023). https://doi.org/10.1007/s00238-022-02036-y

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  • DOI: https://doi.org/10.1007/s00238-022-02036-y

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