Surgical treatment of buccofacial region vascular anomalies using an intraoral buccomucosal flap procedure

Arch Otolaryngol Head Neck Surg. 2010 Feb;136(2):134-7. doi: 10.1001/archoto.2009.211.

Abstract

Objective: To report our experience in and our surgical technique of treating vascular anomalies of the buccofacial region using an intraoral buccomucosal flap approach.

Design: Retrospective medical record review and illustration of a specific surgical procedure.

Setting: Academic tertiary care center.

Patients: Thirty-two patients with vascular anomalies of the buccofacial region who have been treated using the intraoral buccomucosal flap approach.

Intervention: Surgical therapy using an intraoral buccomucosal flap approach.

Main outcome measures: Surgical outcomes and complications.

Results: Thirty-two patients were treated using the intraoral buccomucosal flap approach. The vascular anomalies treated at this site were venous malformations (17 [53.1%]), lymphatic malformations (13 [40.6%]), and hemangiomas (2 [6.3%]). Surgical removal was accomplished without occurrence of facial nerve dysfunction or other morbidity. The most frequent postoperative problem encountered was scarring with lymphatic malformation treatment.

Conclusion: The intraoral buccomucosal flap procedure is an effective surgical technique for treating vascular anomalies of the buccofacial region.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Hemangioma / pathology
  • Hemangioma / surgery*
  • Humans
  • Infant
  • Lymphatic Abnormalities / pathology
  • Lymphatic Abnormalities / surgery*
  • Male
  • Mouth Mucosa / surgery
  • Retrospective Studies
  • Surgical Flaps*
  • Vascular Malformations / pathology
  • Vascular Malformations / surgery*
  • Young Adult