Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Surgical approach for venous malformation in the head and neck

  • Ryu, Jeong Yeop (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Eo, Pil Seon (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Joon Seok (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Jeong Woo (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Seok Jong (Department of Dermatology, School of Medicine, Kyungpook National University) ;
  • Lee, Jong Min (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Lee, Sang Yub (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Huh, Seung (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Kim, Ji Yoon (Department of Pediatrics, School of Medicine, Kyungpook National University) ;
  • Chung, Ho Yun (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University)
  • Received : 2019.08.31
  • Accepted : 2019.10.14
  • Published : 2019.10.20
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Treatment for venous malformations of the head and neck includes sclerotherapy, surgical resection, or a combination of both. Surgical resection can remove or reduce the volume of vascular lesions; however, surgery can cause postoperative scarring and potential surgical complications. This study sought to determine the effectiveness of surgery for the treatment of venous malformations of the head and neck. Methods: A retrospective review of the medical records of patients who received surgeries for venous malformations of the head and neck from January 2011 to July 2019 was performed. Using clinical photographs, preoperative and postoperative Doppler ultrasonography, outpatient clinic records, and operation records, the postoperative result and complications were evaluated for each case. Results: Among patients who visited our vascular anomalies clinic, 43 patients (ratio of male to female= 24:19) received surgeries for venous malformations of the head and neck. Twenty-nine patients had undergone surgery only, five patients received sclerotherapy after surgery, and nine patients received surgery after preoperative sclerotherapy. In postoperative evaluations, the result was excellent in 24 patients, good in 18 patients, and poor in one patient. Four patients experienced a recurrence of lesions with lagophthalmos, drooping of the corner of the mouth, partial wound necrosis, and scar widening found in one patient each. Conclusion: Because the head and neck region is the most exposed area in the body, more active implementation of surgical treatments with or without sclerotherapy is essential to reduce the functional and cosmetic impairments associated with venous malformations.

Keywords

References

  1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 1982;69:412-22. https://doi.org/10.1097/00006534-198203000-00002
  2. Wieck MM, Nowicki D, Schall KA, Zeinati C, Howell LK, Anselmo DM. Management of pediatric intramuscular venous malformations. J Pediatr Surg 2017;52:598-601. https://doi.org/10.1016/j.jpedsurg.2016.08.019
  3. Seront E, Van Damme A, Boon LM, Vikkula M. Rapamycin and treatment of venous malformations. Curr Opin Hematol 2019;26:185-92. https://doi.org/10.1097/MOH.0000000000000498
  4. Limaye N, Kangas J, Mendola A, Godfraind C, Schlogel MJ, Helaers R, et al. Somatic activating PIK3CA mutations cause venous malformation. Am J Hum Genet 2015;97:914-21. https://doi.org/10.1016/j.ajhg.2015.11.011
  5. Steiner F, FitzJohn T, Tan ST. Surgical treatment for venous malformation. J Plast Reconstr Aesthet Surg 2013;66:1741-9. https://doi.org/10.1016/j.bjps.2013.07.033
  6. Goyal M, Causer PA, Armstrong D. Venous vascular malformations in pediatric patients: comparison of results of alcohol sclerotherapy with proposed MR imaging classification. Radiology 2002;223:639-44. https://doi.org/10.1148/radiol.2233010025
  7. Park H, Kim JS, Park H, Kim JY, Huh S, Lee JM, et al. Venous malformations of the head and neck: a retrospective review of 82 cases. Arch Plast Surg 2019;46:23-33. https://doi.org/10.5999/aps.2018.00458
  8. Ryu JY, Lee JS, Lee JW, Choi KY, Yang JD, Cho BC, et al. Clinical approaches to vascular anomalies of the lip. Arch Plast Surg 2015;42:709-15. https://doi.org/10.5999/aps.2015.42.6.709
  9. Zheng JW, Mai HM, Zhang L, Wang YA, Fan XD, Su LX, et al. Guidelines for the treatment of head and neck venous malformations. Int J Clin Exp Med 2013;6:377-89.
  10. Steiner F, FitzJohn T, Tan ST. Ethanol sclerotherapy for venous malformation. ANZ J Surg 2016;86:790-5. https://doi.org/10.1111/ans.12833
  11. Azene E, Mitchell S, Radvany M, Agrawal N, Eisele D, Weiss C. Foamed bleomycin sclerosis of airway venous malformations: the role of interspecialty collaboration. Laryngoscope 2016;126:2726-32. https://doi.org/10.1002/lary.26077
  12. Hassanein AH, Mulliken JB, Fishman SJ, Alomari AI, Zurakowski D, Greene AK. Venous malformation: risk of progression during childhood and adolescence. Ann Plast Surg 2012;68:198-201. https://doi.org/10.1097/SAP.0b013e31821453c8
  13. Ryu JY, Eo PS, Tian L, Lee JS, Lee JW, Choi KY, et al. Surgical correction for Tessier number 7 craniofacial cleft using a medially overcorrected design. Arch Plast Surg 2019;46:16-22. https://doi.org/10.5999/aps.2018.01193

Cited by

  1. Classification, diagnosis, and treatment of vascular malformations vol.64, pp.9, 2019, https://doi.org/10.5124/jkma.2021.64.9.614
  2. Potential role of artificial intelligence in craniofacial surgery vol.22, pp.5, 2021, https://doi.org/10.7181/acfs.2021.00507