Mohamed, E., Setta, H., ElShahat, A. (2019). Reduction of Venous Vascular Malformation of the Lip by Ligation Only (Transfixing Sutures). The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 1-5. doi: 10.21608/ejprs.2019.65143
Eman N Mohamed; Hany S Setta; Ahmad ElShahat. "Reduction of Venous Vascular Malformation of the Lip by Ligation Only (Transfixing Sutures)". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 1-5. doi: 10.21608/ejprs.2019.65143
Mohamed, E., Setta, H., ElShahat, A. (2019). 'Reduction of Venous Vascular Malformation of the Lip by Ligation Only (Transfixing Sutures)', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 1-5. doi: 10.21608/ejprs.2019.65143
Mohamed, E., Setta, H., ElShahat, A. Reduction of Venous Vascular Malformation of the Lip by Ligation Only (Transfixing Sutures). The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 1-5. doi: 10.21608/ejprs.2019.65143
Reduction of Venous Vascular Malformation of the Lip by Ligation Only (Transfixing Sutures)
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Vascular malformations include diverse group of lesions that usually present with both diagnostic and therapeutic challenges. Venous vascular malformations are generally simple, low flow lesions with abnormal venous network. They are congenital lesions, but clinically they become more obvious during the adolescent period. Most of these lesions are improperly diagnosed due to confusion in terminology with other lesions such as hemangiomas, and other low flow vascular malformations that often results in improper management. Aim of the Study: In this study, we aim to propose and assess reliability and reproducibility of a new modality in management of venous vascular malformation in the lip by ligation of the malformation using multiple transfixing sutures technique avoiding excision and hence avoiding distortion of anatomy, as the muscle is usually inevitably involved. Patients and Methods: 15 patients with venous vascular malformation of the lip were included in this study. 9 females and 6 males with average age 28 (9-37) years old. Ligation of the venous malformation was done in all cases by transfixing sutures. Ligation could be done in single or multiple stages according to the size of the venous malformations. Results: 14 patients had an uneventful postoperative period. Whereas, there was postoperative bleeding in one patient. The lesions were successfully managed with surgical ligation by transfixion only without excision, with no major postoperative complications. One year follow-up period revealed no recurrence. Conclusion: Management of venous vascular malformations of the lip by using multiple transfixing sutures for ligation is a good surgical technique avoiding injury of the muscle during surgical excision, and thus preservence of functional and aesthetic outcome with minimal surgical intervention.
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