Eye and Facial Plastic Surgery Consultants, Philadelphia, PA.
Division of Orbital and Ophthalmic Plastic Surgery, Department of Ophthalmology, Wills Eye Hospital, Philadelphia, PA.
Ophthalmic Plast Reconstr Surg. 2019 Jul/Aug;35(4):387-398. doi: 10.1097/IOP.0000000000001294.
To review a representative case series and share a stepwise approach to the diagnosis and treatment of periorbital venolymphatic malformations.
A case series of 9 patients with representative periorbital venolymphatic malformations. All patients managed at the University of California, Los Angeles Orbital Center for a vascular malformation over the last 5 years were reviewed. Cases representative of the varied pathologic findings and techniques were selected. The clinical, radiologic, and intraoperative findings are presented and a survey of techniques composed.
Venolymphatic malformations can have protean manifestations. Characteristics vital to the understanding and management of these lesions are the classification and vascular composition of the lesion, internal flow and drainage patterns, anatomic localization and association with distant components. Options for treatment include sclerotherapy, biologic therapy, embolization, surgical excision, or some combination thereof.
A comprehensive understanding of each patient's unique lesion is critical to a rational treatment approach. Teamwork and creativity are key to effectively managing these lesions.
回顾一组具有代表性的病例系列，并分享眶周静脉淋巴管畸形的诊断和治疗的逐步方法。
对过去 5 年来在加利福尼亚大学洛杉矶眼眶中心治疗的 9 例具有代表性的眶周静脉淋巴管畸形患者进行了病例系列回顾。选择了具有不同病理发现和技术的代表性病例。介绍了临床、放射学和术中发现，并进行了技术调查。
静脉淋巴管畸形的表现形式多种多样。理解和处理这些病变的关键特征是病变的分类和血管组成、内部血流和引流模式、解剖定位以及与远处成分的关联。治疗选择包括硬化治疗、生物治疗、栓塞、手术切除或其组合。
全面了解每位患者独特的病变对于合理的治疗方法至关重要。团队合作和创造力是有效管理这些病变的关键。
