Ocular lymphatic vascular malformation combined intracystic hemorrhage of surgical treatment
10.3760/cma.j.issn.1009-4598.2019.07.009
- VernacularTitle: 眼部淋巴血管畸形合并囊内出血的外科治疗
- Author:
Junbo QIAO
1
,
2
;
Jin LI
3
;
Chang CHAI
3
;
Weiqun WANG
4
Author Information
1. Department of Hemangioma Surgery, Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450003, China
2. Department of Ophthalmology, Zhengzhou University People′s Hospital, Henan Provincial People′s Hospital, Henan Eye Institute & Henan Eye Hospital, Zhengzhou 450052, China
3. Department of Ophthalmology, Zhengzhou University People′s Hospital, Henan Provincial People′s Hospital, Henan Eye Institute & Henan Eye Hospital, Zhengzhou 450052, China
4. Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450003, China
- Publication Type:Clinical Trail
- Keywords:
Lymphatic vascular malformation;
Intracystic hemorrhage;
Ocular;
Surgery
- From:
Chinese Journal of Plastic Surgery
2019;35(7):661-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the radical treatment of lymphatic vascular malformation combined intracystic hemorrhage in Children.
Methods:66 cases with lymphatic vascular malformation combined intracystic hemorrhage were retrospectively analyzed. The longest diameter of all the lesions was nearly 4 cm.All the 66 patients received surgical treatment. Arc-shaped incision was made to separate and expose the eyes from the hair trace. The lesions were separated from the frontal and temporal parts to the eyes along the dermal fat layer, and deep separation revealed orbicularis oculi muscle and levator upper eyelid muscle.
Results:All the 66 cases were completely resected, and the patients were followed up for 0.5-3.0 years after the surgery. The postoperative appearance was satisfactory in 58 cases. The wound scar was healed in 8 cases, and the patients had satisfactory postoperative appearance after elective scar resection and cosmetic repair. Postoperative complications included long-term exudation of incision lymph in 6 cases. Among them, 4 cases were complicated with incision dehiscence and 2 cases were infected.
Conclusions:The method of complete resection of tumor as early as possible can radical cure the ocular lymphangioma with intracapsular hemorrhage, which prevent the disease from deteriorating, and meeting the aesthetic requirements of satisfactory appearance.