9例增生型毛细血管畸形的手术治疗

目的: 报告9例颌面部增生型毛细血管畸形的手术方法及疗效。方法: 回顾性分析9例病变直径大于7 cm的增生型毛细血管畸形的患者资料,包括年龄、部位、手术方法、术后随访及评价。结果: 本组病例包含女5例,男4例,其中5例就诊年龄在40岁以上,主要累及面中、下份;2例同时累及额部和颈部;5例病变累及下唇,其中2例伴发下唇癌。6例患者接受病变减量术+邻近瓣转移缺损修复术,4例患者的术区实现一期愈合;3例患者接受病变完整切除术+远位皮瓣修复术或植皮术,具体为胸三角皮瓣、前臂皮瓣及全厚皮片各1例。患者术后面容得到明显改善,部分患者的语音和进食功能得到改善。结论: 增生型毛细血管畸形施行手术治疗的患者,面部的形态、功能和生活满意度得到显著的改善。

Surgical Treatment of 9 Cases of Hypertrophic Capillary Malformation.

Objective: To investigate the surgical treatment of hypertrophic capillary malformation in the head and neck region. Methods: Nine patients with the length of the hypertrophic capillary malformation bigger than 7cm were included in this study. Patients' demographic and clinical data were analyzed. Results: Of the 9 patients, 5 patients were female, and 5 were older than 40. The lesion mainly involved the middle and inferior part of the head and neck region. Lower lip was involved in 5 cases, 2 were along with squamous cell carcinoma. Partial resection was performed in 6 cases and the defection was reconstructed with local flap. Total resection was performed in 3 cases and the defection was reconstructed with skin grafting, free flap, and pedicle flap. The patient's facial appearance and masticatory function was improved significantly. Conclusion: After patients with proliferative capillary malformations underwent surgical treatment, their facial morphology, function, and life satisfaction were improved significantly.