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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Park, Sang Min (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Lee, Jae Woo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Kim, Hoon Soo (Department of Dermatology, Pusan National University School of Medicine) Lee, In Sook (Department of Radiology, Pusan National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제1호
발행연도
2016.1
수록면
19 - 25 (7page)

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Background The vermilion plays an important role in both the aesthetic and functional aspects of facial anatomy. Due to its structural features, the complete excision of vascular anomalies on the vermilion is challenging, making it difficult to determine the appropriate treatment strategy. Thus, the authors analyzed the results of surgical treatment of vascular anomalies on the vermilion. Methods The medical records of 38 patients with vascular anomalies on the vermilion who underwent surgery from 1995 to 2013 were analyzed. Nine of the cases had an involuted hemangioma, and 29 cases had a vascular malformation; of the vascular malformations, 13, 11, one, and four cases involved were capillary malformations (CMs), venous malformations (VMs), lymphatic malformations (LMs), and arteriovenous malformations (AVMs), respectively. We investigated the surgical methods used to treat these patients, the quantity of surgical procedures, complications and instances of recurrence, and self-assessed satisfaction scores. Results A total of 50 operations were carried out: 28 horizontal partial excisions, eight vertical partial excisions, and 14 operations using other surgical methods. All cases of AVM underwent complete excision. Six cases experienced minor complications and one case of recurrence was observed. The overall average satisfaction score was 4.1 out of 5, while the satisfaction scores associated with each lesion type were 4.2 for hemangiomas, 3.9 for CMs, 4.2 for VMs, 5.0 for LMs, and 4.0 for AVMs. Conclusions It is difficult to completely excise vascular anomalies that involve the vermilion. This study suggests that partial excision focused on correcting the overall contour of the lips is effective and leads to satisfactory results.
#Vascular malformations #Hemangioma #Treatment outcome #Follow-up studies

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참고문헌 (19)

참고문헌 신청
Mulliken JB / 1982 / Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics / Plast Reconstr Surg 69:412~422 google schola Jackson IT / 1993 / Hemangiomas, vascular malformations, and lymphovenous malformations:classification and methods of treatment / Plast Reconstr Surg 91:1216~1230 google schola Enjolras O / 1997 / Vascular tumors and vascular malformations (new issues) / Adv Dermatol 13:375~423 google schola Chim H / 2010 / Vascular anomalies and lymphedema / Plast Reconstr Surg 126:55e~69e google schola Neligan P / 2013 / Plastic surgery / Elsevier Saunders google schola

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