Outcome of Management of Vascular Malformations of Lip.
OBJECTIVE
To describe the characteristics and outcome of management of vascular malformations of lip.


METHODS
The Department of Plastic Surgery and Burn Unit, King Edward Medical University, Mayo Hospital, Lahore, from January 2009 to December 2013.


METHODS
A prospective case series of 38 patients with vascular malformation of lip was performed. Demographic information and clinical features were noted. Treatment employed, complications, functional, and cosmetic outcome were recorded. Surgical debulking was performed as definitive treatment in all patients and nonsurgical techniques were added as adjuvant modalities in 18 patients. Sclerotherapy was performed for venous malformations in 10 patients. LASER was performed in 8 patients with capillary or combined malformations. Arterial malformations were managed surgically without embolization. Postexcision defects were closed primarily in 36 patients with Abbe flap in 1 and nasolabial flap in another patient for reconstruction.


RESULTS
Of 38 patients included in the study 20 (53%) were males with mean (SD) age 18 (6) years. Twenty-one percent were high and 79% low-flow malformations (29% venous, 16% capillary, and 34% combined). Lower lip was involved in 70% patients with 95% having difficulty in eating and 87% abnormal speech. Referring diagnosis was incorrect in 35% patients. Postsclerotherapy and postexcision pain scores were mean (SD) 5 (1.26) and 4 (1) respectively. All patients had improvement in eating and speech with restoration of normal muscle function in mean (SD) 5.63 (1.2) weeks. Ninety-five percent patients were satisfied with their outlook. One patient had recurrence at 1 year follow-up.


CONCLUSIONS
Surgical debulking with proper use of adjuvant procedure for vascular malformations of lip produces best functional and aesthetic results with minimal complications.
*Plastic, Reconstructive Surgery and Burn Unit, King Edward Medical University, Mayo Hospital†Plastic Surgery Department, Shaikh Zayed Medical Complex‡29/7 Behind Muslim League House, Davis Road§ENT 1, King Edward Medical University, Mayo Hospital||King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad
M
Sohail
Muhammad Mustehsan
MM
Bashir
Hamid Hussain
HH
Ansari
Farid Ahmad
FA
Khan
Noreen
N
Assumame
Nukhbat Ullah
NU
Awan
Asad Aizaz
AA
Chatha
D000293:Adolescent; D000328:Adult; D002648:Child; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008046:Lip / Q000098:blood supply* / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography; D008297:Male; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D015911:Sclerotherapy / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D054079:Vascular Malformations / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult