Surgical Treatment of Dermatomal Capillary Malformations in the Adult Face

Kim, Yoo-Jeong; Oh, Suk-Joon; Lee, Jun-Sang; Yang, Ji-Hoon; Koh, Sung-Hoon; Jung, Sung-Won

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자료유형: 학술저널

저자정보: Kim, Yoo-Jeong (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) Oh, Suk-Joon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) Lee, Jun-Sang (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) Yang, Ji-Hoon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) Koh, Sung-Hoon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) Jung, Sung-Won (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제39권 제2호

발행연도: 2012.1

수록면: 126 - 129 (4page)

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Background : Facial capillary malformations (CMs) rarely recede; they often become darker and raised in proportion to their growth. These malformations may hypertrophy in adulthood, resulting in increased disfigurement and dysfunction. Laser treatment is considered a first-line therapy for focal CMs, but thick wide lesions, which are accompanied by hypertrophy and have a well-circumscribed nodularity, may be treated with surgical excision and reconstruction. Methods : We retrospectively reviewed the records of 25 consecutive patients who had undergone complete or partial excisions of facial capillary malformations in our unit. After the excisions, the defects that encompassed their facial aesthetic units were subsequently covered by various methods, including primary closures, local flaps, expanded flaps, split-thickness skin grafts, and full thickness skin grafts. Results : The data demonstrated satisfactory results and reliability. Our patients were treated without significant complications, and all of the patients were moderately or fully satisfied with the outcome of their surgeries. Conclusions : Among the many reconstructive options for adult patients with facial capillary malformations, thick split-thickness skin grafts can be a good choice for the coverage of widely excised wounds.

#Vascular malformations #Skin transplantation #Surgical flap

참고문헌 (17)

참고문헌 신청

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Enjolras O / 1997 / Vascular tumors and vascular malformations (new issues) / Adv Dermatol 13:375~423

Enjolras O / 1985 / Facial port-wine stains and Sturge-Weber syndrome / Pediatrics 76:48~51

Kelly KM / 2005 / Description and analysis of treatments for port-wine stain birthmarks / Arch Facial Plast Surg 7:287~294

Batta K / 2000 / Management of large birthmarks / Semin Neonatol 5:325~332