Surgical management of congenital hairy nevus of face with Limberg flap, a case report

Introduction: Cosmetic deformity of the face is always a subject of concern for the patient. Besides the aesthetic considerations, the possibility for large congenital nevi to become malignant is significant and emerges as an important factor in the treatment and management of this entity. The case report is about a four years old female child who reported with a large black hairy pigmented lesion on the left side of the mid-face region. The child often faced discrimination at school. The child's parents brought her to our institute for the correction of this major cosmetic defect. Procedure: Surgical management involved excision of the lesion and reconstruction of the defect using a Limberg flap. In the immediate post operative phase, regular topical antiseptic ointment application was done for 2 weeks. Suture removal was done after 2 weeks and regular application and massage with an Allantoin based cream was done for the next 6 months.| Summary: Healing for the patient was uneventful and scars gradually decreased with massaging. There was no recurrence of the CNN. At the 2 year follow-up, the scar marks had become very faint. According to the testimony of the patient, the patient feels increasingly confident and more socially accepted as a result of the procedure. Conclusion: We would like to propose that with proper planning and analysis, Limberg flap can produce satisfactory functional and aesthetic reconstructive results for many full thickness defects of the facial region.