Division of Plastic Surgery, College of Physicians & Surgeons, Columbia University, 161 Fort Washington Ave, Suite 511, New York, NY 10032, USA.
J Plast Reconstr Aesthet Surg. 2012 Feb;65(2):163-8. doi: 10.1016/j.bjps.2011.08.033. Epub 2011 Sep 19.
Hemangiomas are the most common benign tumor of infancy, affecting females more than males. Lip hemangiomas are of particular concern because of their relatively increased risk to ulcerate during the proliferative period. Ulcerated hemangiomas of the lip can lead to increased scarring, loss of lip contour, and disfigurement. Most will require surgical correction to restore normal labial anatomy.
A retrospective chart review between 2004 and 2010 for surgically treated lip hemangiomas was performed. Demographic data, location of the hemangioma, age at operation, and number of operations were recorded. Two independent observers evaluated lip appearance post-operatively using 5-point scales to examine scar, symmetry, contour, and color, with 5 being excellent and 1 being poor.
Between 2004 and 2010, eleven patients underwent surgical correction. Ten of the eleven were female. 18% (2/11) were ulcerated. One third (4/11) was in the upper lip and two-thirds (7/11) were in the lower lip. The mean age of the patients at the time of operation was 3.6 years (range, 14 months to 17 years). The average number of operations per patient was 1.6 (range, 1-3). The average scores for lip appearance after surgical correction ranged between 3.95 (good) for lip contour to 4.5 (good to excellent) for color.
Lip hemangiomas often require surgical correction. Treatment goals include restoration of normal lip contour and strategic placement of the incision. By taking advantage of the natural involution that occurs and careful planning, procedures can be staged to minimize distortion of the lip. Even lip hemangiomas that cross the vermilio-cutaneous (VC) junction can be excised and lip contour achieved without the need to extend scars beyond the VC junction.
血管瘤是婴儿期最常见的良性肿瘤，女性比男性更易患病。唇部血管瘤尤其令人担忧，因为它们在增殖期有相对较高的溃疡风险。唇部溃疡性血管瘤会导致疤痕增加、唇轮廓丧失和毁容。大多数情况下需要手术矫正以恢复正常的唇解剖结构。
对 2004 年至 2010 年期间接受唇部血管瘤手术治疗的患者进行了回顾性图表审查。记录了人口统计学数据、血管瘤位置、手术年龄和手术次数。两名独立观察者使用 5 分制评估术后唇部外观，以检查疤痕、对称性、轮廓和颜色，5 分为优秀，1 分为差。
在 2004 年至 2010 年间，11 名患者接受了手术矫正。其中 10 名为女性，占 91%（10/11）。有 18%（2/11）为溃疡性血管瘤。三分之一（4/11）位于上唇，三分之二（7/11）位于下唇。患者手术时的平均年龄为 3.6 岁（范围，14 个月至 17 岁）。每位患者的平均手术次数为 1.6 次（范围，1-3 次）。术后唇部外观平均评分为 3.95（良好）至 4.5（良好至优秀），其中唇轮廓评分为 3.95（良好），颜色评分为 4.5（良好至优秀）。
唇部血管瘤常需要手术矫正。治疗目标包括恢复正常的唇轮廓和切口的合理位置。通过利用自然消退和精心规划，可以分期手术，最大限度地减少唇部变形。即使跨越唇红-皮肤交界（VC）的唇部血管瘤，也可以切除并实现唇轮廓，而无需将疤痕延伸至 VC 交界处之外。
