Park Sang Min, Bae Yong Chan, Lee Jae Woo, Kim Hoon Soo, Lee In Sook
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Arch Plast Surg. 2016 Jan;43(1):19-25. doi: 10.5999/aps.2016.43.1.19. Epub 2016 Jan 15.
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.
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.
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.
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.
唇红在面部解剖学的美学和功能方面均起着重要作用。由于其结构特点，唇红部血管异常的完整切除具有挑战性，难以确定合适的治疗策略。因此，作者分析了唇红部血管异常的手术治疗结果。
分析了1995年至2013年期间接受手术治疗的38例唇红部血管异常患者的病历。其中9例为消退期血管瘤，29例为血管畸形；在血管畸形中，分别有13例、11例、1例和4例为毛细血管畸形（CMs）、静脉畸形（VMs）、淋巴管畸形（LMs）和动静脉畸形（AVMs）。我们调查了用于治疗这些患者的手术方法、手术次数、并发症和复发情况以及自我评估的满意度评分。
共进行了50次手术：28次水平部分切除术、8次垂直部分切除术和14次采用其他手术方法的手术。所有AVM病例均实现了完整切除。6例出现轻微并发症，观察到1例复发。总体平均满意度评分为4.1（满分5分），而与每种病变类型相关的满意度评分分别为：血管瘤4.2分、CMs 3.9分、VMs 4.2分、LMs 5.0分、AVMs 4.0分。
累及唇红部的血管异常难以完全切除。本研究表明，以矫正唇部整体轮廓为重点的部分切除术是有效的，且能取得满意的效果。
