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采用皮肤移植术对广泛性面部血管畸形进行手术治疗:多学科方法——病例报告

Surgical management of extensive facial vascular malformation with skin graft: A multidisciplinary approach-Case report.

作者信息

Katwal Shailendra, Paudel Pratiksha, Khatiwada Bidur, Agrawal Srikant, Bidari Sahadev

机构信息

Dadeldhura Subregional Hospital, Amargadhi, Dadeldhura, Nepal.

All Nepal Hospital, Kathmandu, Nepal.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241272586. doi: 10.1177/2050313X241272586. eCollection 2024.

Abstract

Vascular malformations are rare congenital abnormalities of blood vessels that persist throughout life. Large vascular malformations affecting the facial region can be distressing and require meticulous management to achieve satisfactory outcomes and prevent recurrence. Here, we present a case of a 40-year-old man with a progressively growing tumor-like mass on the right side of his face, extending from the periorbital region to the chin. He was diagnosed with vascular malformations, which was further confirmed with contrast-enhanced magnetic resonance imaging. Eventually, he underwent surgical excision of the lesion with a split-thickness skin graft. The surgical management of this case was challenging due to the large size and complexity of the lesion, particularly because it was located in the facial region. This unique case report highlights the importance of diagnostic imaging techniques and effective surgical management in addressing large vascular malformations, especially those affecting the facial region while prioritizing desirable cosmetic outcomes.

摘要

血管畸形是罕见的先天性血管异常,会终生存在。影响面部区域的大型血管畸形可能令人苦恼,需要精心管理才能取得满意的效果并防止复发。在此,我们报告一例40岁男性病例,其右侧面部有一个逐渐增大的肿瘤样肿物,从眶周区域延伸至下巴。他被诊断为血管畸形,增强磁共振成像进一步证实了这一诊断。最终,他接受了病变的手术切除并进行了中厚皮片移植。由于病变的大小和复杂性,尤其是其位于面部区域,该病例的手术管理具有挑战性。这份独特的病例报告强调了诊断成像技术和有效手术管理在处理大型血管畸形,特别是那些影响面部区域同时优先考虑理想美容效果方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48f3/11329960/5f40b8003ed5/10.1177_2050313X241272586-fig1.jpg

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