Eur J Pediatr Surg 2021; 31(03): 273-275
DOI: 10.1055/s-0040-1712931
Original Article

Ligaclip for Preauricular Skin Tags in the Newborn

Fabrizio Schonauer
1   Division of Plastic, Reconstructive and Aesthetic Surgery, Università degli Studi di Napoli Federico II Scuola di Medicina e Chirurgia, Federico II University, Naples, Campania, Italy
,
2   Department of Plastic Surgery, Università degli Studi della Campania Luigi Vanvitelli, Caserta, Italy
,
Elisabetta Grasso
1   Division of Plastic, Reconstructive and Aesthetic Surgery, Università degli Studi di Napoli Federico II Scuola di Medicina e Chirurgia, Federico II University, Naples, Campania, Italy
,
Sara Izzo
2   Department of Plastic Surgery, Università degli Studi della Campania Luigi Vanvitelli, Caserta, Italy
,
Giovanni Francesco Nicoletti
2   Department of Plastic Surgery, Università degli Studi della Campania Luigi Vanvitelli, Caserta, Italy
,
Francesco D'Andrea
1   Division of Plastic, Reconstructive and Aesthetic Surgery, Università degli Studi di Napoli Federico II Scuola di Medicina e Chirurgia, Federico II University, Naples, Campania, Italy
› Author Affiliations
Funding None.

Abstract

Introduction Skin tags are benign lesions, that often represent only an aesthetic problem; if subjected to trauma, they can occasionally bleed with possible infection and pain. When they occur in the preauricular region, attention should be paid to the diagnosis and approach; in fact, controversy exists in the differential diagnosis between hair follicle nevi, accessory tragus, and skin tag. Misdiagnosis and failure of treatment can lead to serious consequences, such as chondritis.

Materials and Methods In our retrospective study, we evaluated 19 newborns affected by single, unilateral skin tag in the preauricular region. Each patient underwent a careful clinical examination; lesions without a pilosebaceous unit and with a thin, soft pedicle were treated in the nursery with Ligaclip (Johnson & Johnson).

Results Skin tag falls between day 7 and 10. We had no cases of edema, cellulitis, clip loss, or bleeding. Scarring results were extremely satisfactory at 3-month follow-up.

Conclusion We believe that after a careful clinical examination, cases of skin tags in the preauricular area can be selected and treated with Ligaclip. This procedure can be considered rapid, safe, economical, and simple in the newborn patients.

Ethical Approval

Written informed consent for patient information and images was provided by a legally authorized representative. All the procedures performed in this study were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.




Publication History

Received: 07 January 2020

Accepted: 26 April 2020

Publication Date:
08 June 2020 (online)

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