[Port wine stains or capillary malformations: surgical treatment].
Capillary malformations do not demand mostly any therapeutics. For aesthetic reasons, family or child can demand a treatment to ease even to remove the unsightly character of the lesion. In this context, the means employees must be simple and not engender aftereffects more unaesthetic than the lesion. The pulsed dye laser fulfils perfectly this conditions by improving the color of the lesion without touching the texture of the skin. However it's a treatment requiring many sessions over 2-3 years. Surgery keeps an interest for the treatment of capillary malformations resistant to laser (in particular on the limbs) or to treat soft tissues hyperplasia met in certain cervicofacial locations. The surgery uses the whole techniques of plastic surgery classified from the most simple to the most complicated: excision-suture in one time or iterative, excision and coverage by a skin graft, use of skin expansion techniques with local flaps.
Berwald
C
C
Service de chirurgie plastique reconstructrice et esthétique d'adultes, hôpital de La Conception, 147, boulevard Baille, 13005 Marseille, France. christian.berwald@ap-hm.fr
Salazard
B
B
Bardot
J
J
Casanova
D
D
Magalon
G
G
D002196:Capillaries / Q000002:abnormalities* / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D005145:Face / Q000098:blood supply; D006801:Humans; D006965:Hyperplasia; D017075:Laser Coagulation / Q000379:methods; D009333:Neck / Q000098:blood supply; D019339:Port-Wine Stain / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012867:Skin / Q000098:blood supply*; D016038:Skin Transplantation; D013524:Surgical Flaps; D015626:Tissue Expansion