Lymphaticovenular anastomosis for Morbihan disease: a case report
- Author:
Jung Hyun HONG
1
;
Changryul Claud YI
;
Jae Woo LEE
;
Yong Chan BAE
;
Ryuck Seong KIM
;
Joo Hyoung KIM
Author Information
- Publication Type:Case Report
- From:Archives of Craniofacial Surgery 2023;24(3):124-128
- CountryRepublic of Korea
- Language:English
- Abstract: Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper twothirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD.
