Repair of basifacial depressions induced by sclerotherapy for venous malformations with shifted axis platysma-fascial flap including submental artery
10.3760/cma.j.issn.1671-0290.2014.06.009
- VernacularTitle:轴型颏下动脉颈阔肌筋膜瓣转移修复下面部静脉畸形硬化治疗后的凹陷
- Author:
Kelei LI
;
Fengmei ZHANG
;
Maozhong TAI
;
Chunxiao GE
;
Zhongping QIN
- Publication Type:Journal Article
- Keywords:
Fascial flap;
Reconstruction;
Facial depression;
Venous malformation
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2014;20(6):429-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of reconditioning post-sclerotherapy basifacial depressions for venous malformations with the axis platysma-fascial flap including submental artery.Methods Fifteen cases of post-sclerotherapy depressions of venous malformations were treated from Dec.2008 to Oct.2013.Preoperative color Doppler ultrasonography was routinely performed to localize and mark sublingualissubmental artery.Upper hind neck incision was made to dissociate depressed and donor area,after which reconstruction were performed with axis platysma-fascial flap including submental artery.3 months to 2 years' follow-ups were conducted to observe clinical effects.Results All the flaps were alive in all the 15 cases.Satisfacfory recovery archeived because the depressed area appeared well-stacked wihtout secondary depression in the neck.Conclusions It is recommended that axis platysma-fascial flap should be the first chioce of reconditioning basifacial postsclerotherapy depressions for venous malformations,as the operations can be peformed easily under concealed incision with abundant tissues supply and high survival rate.
