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Ligaclip for Preauricular Skin Tags in the NewbornFunding None.
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.
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.
Received: 07 January 2020
Accepted: 26 April 2020
08 June 2020 (online)
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Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
- 1 Görgülü T, Torun M, Güler R, Olgun A, Kargi E. Fast and painless skin tag excision with ethyl chloride. Aesthetic Plast Surg 2015; 39 (04) 644-645
- 2 Lee JA, Khodaee M. Enlarging, pedunculated skin lesion. Acrochordon. Am Fam Physician 2012; 85 (12) 1191-1192
- 3 Sebben JE. The accessory tragus—no ordinary skin tag. J Dermatol Surg Oncol 1989; 15 (03) 304-307
- 4 McGrath BM, Ashton BD. Dermacase: can you identify this condition? Accessory tragus. Can Fam Physician 2012; 58 (07) 767
- 5 Fearmonti R, Bond J, Erdmann D, Levinson H. A review of scar scales and scar measuring devices. Eplasty 2010; 10: e43
- 6 Ban M, Kamiya H, Yamada T, Kitajima Y. Hair follicle nevi and accessory tragi: variable quantity of adipose tissue in connective tissue framework. Pediatr Dermatol 1997; 14 (06) 433-436
- 7 Asahina A, Mitomi H, Sakurai N, Fujita H. Multiple accessory tragi without cartilage: relationship with hair follicle naevi?. Acta Derm Venereol 2009; 89 (03) 316-317
- 8 Rankin JS, Schwartz RA. Accessory tragus: a possible sign of Goldenhar syndrome. Cutis 2011; 88 (02) 62-64
- 9 Brownstein MH, Wanger N, Helwig EB. Accessory tragi. Arch Dermatol 1971; 104 (06) 625-631
- 10 Chander B, Dogra SS, Raina R, Sharma C, Sharma R. Chondrocutaneous branchial remnants or cartilaginous choristoma: terminology, biological behavior and salience of bilateral cervical lesions. Turk Patoloji Derg 2014; 30 (03) 195-200
- 11 Chopan M, Sayadi L, Chim H, Buchanan PJ. To tie or not to tie: a systematic review of postaxial polydactyly and outcomes of suture ligation versus surgical excision. Hand (N Y) 2020; 15 (03) 303-310
- 12 Mills JK, Ezaki M, Oishi SN. Ulnar polydactyly: long-term outcomes and cost-effectiveness of surgical clip application in the newborn. Clin Pediatr (Phila) 2014; 53 (05) 470-473
- 13 Patillo D, Rayan GM. Complications of suture ligation ablation for ulnar polydactyly: a report of two cases. Hand (N Y) 2011; 6 (01) 102-105