title: Surgical management of solitary venous malformation in the midcheek region.
abstract: OBJECTIVE
  The aim of this study was to analyze a single institution's experience of solitary venous malformation (VM) in the midcheek region.
  
  
  METHODS
  From 2002 to 2009, a total of 10 consecutive patients with solitary venous malformation in the midcheek region were retrospectively analyzed. Clinical records were reviewed for patient demographic data, presenting symptoms and signs, imaging modalities used, histologic and immunohistochemical results, surgical data, and clinical outcomes.
  
  
  RESULTS
  The sample consisted of 5 males and 5 females with a mean age of 42.8 years. The course of disease ranged from 0.5 to 144.0 months with a mean time of 64.9 months. The mean size of the masses was 1.7 × 1.5 cm (range 1.0 × 0.8 cm to 2.5 × 2.5 cm). Investigations included Doppler ultrasonography (US) and computed tomography (CT) scanning. Surgical excision using various surgical approaches was performed in all patients. Postoperative pathologic examination confirmed the diagnosis of VM. The mean follow-up period was 41.2 months (range 2 months to 94 months) with no recurrence reported.
  
  
  CONCLUSIONS
  For solitary VM in the midcheek region, investigations, such as Doppler US or CT scanning or the use of fine-needle aspiration cytology, may aid in clinical diagnosis. The primary treatment of these lesions is surgical excision, and in our sample, the prognosis of such treatment was good with no recurrence reported.
authors: Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors: Lai-ping
authors: LP
authors: Zhong
authors: Andrew
authors: A
authors: Ow
authors: Wen-jun
authors: WJ
authors: Yang
authors: Yong-jie
authors: YJ
authors: Hu
authors: Li-zhen
authors: LZ
authors: Wang
authors: Chen-ping
authors: CP
authors: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D002610:Cheek / Q000098:blood supply*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014680:Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery