Case of Surgical Treatment with Free Flap on Large Size Facial Capillary Malformation

Kim,  Do Hoon; Pyon,  Jai Kyong; Mun,  Goo Hyun; Bang,  Sa Ik; Oh,  Kap Sung; Lim,  So Young

doi:2011.20.1.60

Arch Hand Microsurg > Volume 20(1); 2011 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2011;20(1):60-63.
Published online May 31, 2011.
DOI: https://doi.org/10.12790/jkssh.2011.20.1.60

Case of Surgical Treatment with Free Flap on Large Size Facial Capillary Malformation

Do Hoon Kim, M.D., Jai-Kyong Pyon, M.D., Goo-Hyun Mun, M.D., Sa-Ik Bang, M.D., Kap-Sung Oh, M.D., So-Young Lim, M.D.

Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. sy72.lim@samsung.com

안면부 모세혈관기형에 따른 광범위 안면부 결손의 유리피판술을 이용한 치험례

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Abstract

Capillary malformation is common vascular malformation. In case of facial capillary malformation, patients’ cosmetic and functional deficits are quite significant. The standard treatment which has been applied so far for capillary malformation is pulsed dye laser with 585nm. But in case of advanced capillary malformation, surgical interventions are inevitable. The problem of large size facial capillary malformation is how to cover the remnant defect, which occurs after resection. In this case, authors have experienced surgical treatment of large size facial capillary malformation and covered the large facial defect with free thoracodorsal artery perforator flap. The flap was thick, so facial asymmetry remained after the first surgery. But with the secondary procedure, authors have made more symmetric figures. The patient was satisfied with the result. Using free flap to replace the defect after resection due to capillary malformation is useful for these kinds of cases.

Key Words: Thoracodorsal artery free flap. Capillary malformation, Vascular anomaly