Jeong Dae Kyun, Lee Jae Woo, Choi Soo Jong, Bae Yong Chan
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. 2020 May;47(3):263-266. doi: 10.5999/aps.2019.00395. Epub 2020 Apr 8.
Infantile hemangiomas have a growth phase and an involution phase. For this reason, serial observation has generally been recommended as the treatment for uncomplicated infantile hemangiomas. Recently, however, individualized approaches have been emphasized. Although cleft lip and infantile hemangioma are common congenital diseases, infantile hemangiomas on the cleft side (i.e., in the operative field of the cleft lip) are extremely rare, and no clear guidelines have been established for their treatment. We experienced a case in which a patient with a cleft lip had an infantile hemangioma on the cleft side. In accordance with general treatment guidelines, cleft repair was performed 3 months after birth. The Millard rotation-advancement technique, which involves the use of a lower small triangular flap, was used for the repair. No intraoperative complications, such as massive bleeding, or postoperative complications were noted. The patient has received regular follow-up for the past 18 years, and other than a reddish scar on the lower lip, he currently has no related issues. Therefore, this case demonstrates that cleft lip repair performed according to cleft lip treatment guidelines produces good outcomes, even in cases involving a hemangioma on the cleft side.
婴儿血管瘤有增殖期和消退期。因此，对于单纯性婴儿血管瘤，一般推荐采用连续观察作为治疗方法。然而，近来强调个体化治疗方法。虽然唇裂和婴儿血管瘤是常见的先天性疾病，但唇裂侧（即唇裂手术区域）的婴儿血管瘤极为罕见，且尚未确立其明确的治疗指南。我们遇到了一例唇裂患者在唇裂侧患有婴儿血管瘤的病例。按照一般治疗指南，出生后3个月进行了唇裂修复。唇裂修复采用了Millard旋转推进技术，该技术使用了一个较小的下三角瓣。术中未出现大出血等并发症，术后也未出现并发症。在过去18年里，该患者接受了定期随访，除下唇有一道微红的瘢痕外，目前没有其他相关问题。因此，该病例表明，即使是唇裂侧伴有血管瘤的病例，按照唇裂治疗指南进行唇裂修复也能取得良好效果。
