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Surgical Treatment of Buccofacial Region Vascular Anomalies Using an Intraoral Buccomucosal Flap Procedure [Original Article]

February 1, 2010, 12:00 pm by Archives of Otolaryngology Head & Neck Surgery

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.

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