J Korean Soc Microsurg.  2011 May;20(1):60-63.

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

• Kim DH
• Pyon JK
• Mun GH
• Bang SI
• Oh KS
• Lim SY

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.

Keyword

Thoracodorsal artery free flap; Capillary malformation; Vascular anomaly

MeSH Terms

Arteries
Capillaries
Cosmetics
Facial Asymmetry
Free Tissue Flaps
Humans
Lasers, Dye
Perforator Flap
Vascular Malformations
Cosmetics