{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:19:00Z","timestamp":1789676340289,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>In recent years, our knowledge of congenital melanocytic nevi (CMN) has greatly expanded. This has led to a paradigm shift. The present article represents a commentary by an interdisciplinary group of physicians from German\u2010speaking countries with extensive experience in long\u2010term care and surgical treatment of children and adults with CMN (CMN surgery network, \u201cNetzwerk N\u00e4vuschirurgie\u201d, NNC). The authors address aspects such as the indication for treatment as well as treatment planning and implementation under these new premises. Adequate counseling of parents on conservative and\/or surgical management requires an interdisciplinary exchange among physicians and individualized planning of the intervention, which frequently involves a multi\u2010stage procedure. Today, the long\u2010term aesthetic outcome is at the center of any therapeutic endeavor, whereas melanoma prevention plays only a minor role. The premise of \u201cremoval at any cost\u201d no longer holds. Potential treatment\u2010related adverse effects (hospitalization, wound healing disorders, and others) must be carefully weighed against the prospects of a beneficial outcome. In this context, the use of dermabrasion in particular must be critically evaluated. At a meeting of the NNC in September 2018, its members agreed on a consensus\u2010based position on dermabrasion, stating that the procedure frequently leads to impaired wound healing and cosmetically unfavorable or hypertrophic scarring. Moreover, dermabrasion is considered to be commonly associated with considerable repigmentation that usually occurs a number of years after the procedure. In addition, the NNC members saw no benefit in terms of melanoma prevention. In the future, physicians should therefore thoroughly caution about the potential risks and often limited cosmetic benefits of dermabrasion.<\/jats:p>","DOI":"10.1111\/ddg.13951","type":"journal-article","created":{"date-parts":[[2019,9,28]],"date-time":"2019-09-28T04:11:59Z","timestamp":1569643919000},"page":"1005-1016","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Multidisciplinary long\u2010term care and modern surgical treatment of congenital melanocytic nevi \u2013 recommendations by the CMN surgery network"],"prefix":"10.1111","volume":"17","author":[{"given":"Hagen","family":"Ott","sequence":"first","affiliation":[{"name":"Department of Pediatric Dermatology and Allergology Center for Epidermolysis Bullosa Children's Hospital Auf der Bult  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Krengel","sequence":"additional","affiliation":[{"name":"Dermatology Group Practice  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Otfrid","family":"Beck","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Catholic Children's Hospital Wilhelmstift  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kornelia","family":"B\u00f6hler","sequence":"additional","affiliation":[{"name":"Department of Dermatology Vienna Medical University  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"B\u00f6ttcher\u2010Haberzeth","sequence":"additional","affiliation":[{"name":"Center for Pediatric Skin Department of Plastic and Reconstructive Surgery Children's Hospital Zurich University Medical Center  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zlem","family":"Cangir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Center for Vascular Malformations Werner For\u00dfmann Hospital  Eberswalde Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Fattouh","sequence":"additional","affiliation":[{"name":"Division of Burn Injuries, Plastic and Reconstructive Surgery Department of Pediatric Surgery Children's Hospital Altona\/University Medical Center Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"H\u00e4berle","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Dr. v. Hauner Children's Hospital Ludwig Maximilian University  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"H\u00fcging","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Charit\u00e9 University Medicine, Virchow Medical Center  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"K\u00f6nigs","sequence":"additional","affiliation":[{"name":"Division of Burn Injuries, Plastic and Reconstructive Surgery Department of Pediatric Surgery Children's Hospital Altona\/University Medical Center Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand","family":"Kosch","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Karlsruhe Medical Center  Karlsruhe Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kralj","family":"Rok","sequence":"additional","affiliation":[{"name":"Center for Pediatric Skin Department of Plastic and Reconstructive Surgery Children's Hospital Zurich University Medical Center  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicos","family":"Marathovouniotis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Urology Children's Hospital Amsterdamer Stra\u00dfe  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutz","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Center for Vascular Malformations Werner For\u00dfmann Hospital  Eberswalde Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Neuhaus","sequence":"additional","affiliation":[{"name":"Center for Pediatric Skin Department of Plastic and Reconstructive Surgery Children's Hospital Zurich University Medical Center  Zurich 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