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題名 | Aesthetic Unit Reconstruction with Anterolateral Thigh Flap after Wide Excision of Facial Dermatomal Vascular Malformation and Hemangioma--A Case Report=依美容單位及大腿前外側皮瓣重建顏面皮節血管畸形及血管瘤切除術後--病例報告 |
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作者 | 黃宗君; 劉家瑋; 陳宏基; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 24:1 2015.03[民104.03] |
頁次 | 頁77-83 |
分類號 | 416.413 |
關鍵詞 | 美容單位重建; 大腿前外側皮瓣; 顏面微血管畸形; 血管瘤; Aesthetic unit reconstruction; Anterolateral thigh flap; Dermatomal capillary malformation; Hemangioma; |
語文 | 英文(English) |
中文摘要 | 背景:長期顏面微血管畸形及血管瘤常導致持續性的外觀變形,並造成高流速血管變形的高風險。染料雷射在治療顴骨分支型(V2)的病灶扮演的角色較小。外科治療可以用來達成疾病治癒及得到好的外觀。目的及目標:我們報告一個替代性手術方式用來重建長期顏面微血管畸形及血管瘤的切除術後病灶材料及方法:依照美容單位重建原理,我們切除主要微血管畸形及血管瘤的病灶,並保留顏面神經。軟組織缺損則利用大腿前外側皮瓣重建。捐贈區則用部分厚度皮膚移值覆蓋。結果:經廣泛性切除後,一個環形病灶在周圍被留下,並在第二階段的手術當中被切除,術後無併發症產生。十個月後的追蹤顯示外觀可接受且美觀。結論:根據美容單位重建的方式治療顏面皮節分佈血管畸形,手術切除是一個低併發症的一種治療選擇。用大腿前外側皮瓣治療可以達到可接受的外觀和輕微的捐贈區域合併症。 |
英文摘要 | Background: Long-standing facial capillary vascular malformation and hemangioma frequently lead to persistent deformity and has high potential risk of transforming into high flow vascular malformation. Pulse dye laser plays minimal role in the treatment of these lesions with maxillary distribution (V2). Surgical intervention can be applied to achieve disease-free and good cosmetic outcomes. Aim and objectives: We present an alternative method for surgical excision and reconstruction for a long-standing capillary vascular malformation and hemangioma. Materials and Methods: Based on aesthetic unit reconstruction, we resect major capillary malformation and hemangioma with preservation of facial nerve. Soft tissue defect was reconstructed with anterolateral thigh flap. Donor site was covered with split thickness skin graft. Results: A rim of lesions was left after extensive excision, and was resected after second staged excision. There were no post-operative complications. The contour was acceptable with good aesthetic result at ten months of follow-up. Conclusion: Surgical resection is one of the options to treat facial dermatomal capillary malformation with minimal complications based on aesthetic unit reconstruction. Acceptable contour can be achieved by anterolateral thigh flap with minimal donor site morbidity. |
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