Surgical management of vascular malformations in the oral and maxillofacial region:evaluation of 112 cases
SUN Ning-ning
XU Da-peng
XUE Lei
SUN Hua-liang
XI Shan-long
WANG Xu-kai
Abstract：Objective To analyse the surgical management experience and clinical effects in oral and maxillofacial vas-cular malformations. Methods From June 2008 to October 2012,a total of 112 patients with vascular malformations were treated with surgical therapy. Wounds were sutured directly after lesions excision in 83 cases,repaired with local flap transferring in 19 cases,with middle-thick skin graft in 10 cases. Results The pathological results showed 67 cas-es of venous malformation,8 cases of venular malformation,4 cases of lymphatic malformation,24 cases of lymphat-ic-venous malformation,and 9 cases of arteriovenous malformation. One of 10 cases receiving free skin graft had partial skin necrosis for purulent infection and achieved healing by second intention after dressing changes. All patients were fol-lowed up for from 6 months to 5 years. Among 112 cases receiving simple surgical management,105 cases were cured. Recurence occurred in 7 cases from 3 months to 10 months after operation,including 1 case of lymphatic-venous malfor-mation,4 cases of arteriovenous malformation and 2 cases of venous malformation. Recurrent venous malformations were treated with injection of pingyangmycin and then were cured. The others were cured after second operation. Conclusion Vascular malformations in the oral and maxillofacial region can be treated safely using surgery with satisfactory results esthetically and functionally.
Keywords：oral and maxillofacial regionvascular malformationsurgical management
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 723-726 )