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TITLE:

THE OUTCOME OF USING DIFFERENT SURGICAL MODALITIES INCLUDING LASER THERAPY IN THE TREATMENT OF SMALL AND MEDIUM SIZE CONGENITAL MELANOCYTIC NEVI: A SYSTEMATIC REVIEW

AUTHORS:

Hanadi Mufakkir ALMutairi, Ghadah Ibrahim ALHetheli

ABSTRACT:

Objectives: The purpose of this study was to review published articles regarding different surgical modalities including laser therapy in the treatment of congenital melanocytic nevi. Methods: A systematic review was done using several databases including PubMed, Ovid Medline, Google Scholar, and Medline to search for articles related to surgical excisions and different treatment modalities of congenital melanocytic nevi. Results: Fourteen studies were included according to the inclusion and exclusion criteria. The results have shown that the Q-switched ruby laser therapy was the most commonly used laser therapy to treat CMN. Overall, using laser therapy had positive outcomes in CMN treatment. However, limited knowledge was available regarding patient satisfaction with the outcomes of laser therapy. Conclusion: We concluded that the most acceptable surgical choice was using excision with tissue expanders. Laser-intense pulsed light (IPL) alone and in combination with erbium: yttrium-aluminum-garnet (Er: YAG) have a risk of reoccurrence. Combination of types of the laser is more effective than a single one. Keywords: Congenital melanocytic nevi, laser therapy, treatment, outcome, surgical modalities.

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