Skip to main content

Advertisement

Log in

Surgery for the extensive facial port-wine stain?

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

In contrast to true hemangiomas, which are vascular neoplasms, port-wine stains (PWS) are vascular malformations. They consist of mature teleangiectatic vessels in the dermis and the adjacent subcutis. The series of 50 patients here reported have been treated by subtotal excision of their PWS, covering the resulting defects with carefully selected full-thickness skin grafts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Apfelberg DB, Maser MR, Lash H: Argon laser treatment of cutaneous vascular abnormalities. Progress report. Ann Plast Surg1:14, 1978

    PubMed  Google Scholar 

  2. Apfelberg DB, Kosek J, Maser MR, Lash H: Histology of port-wine stains following argon laser treatment. Br J Plast Surg32:232, 1979

    PubMed  Google Scholar 

  3. Apfelberg DB, Maser MR, Lash, H, Rivers J: The Argon laser for cutaneous lesions. JAMA245:2073, 1981

    PubMed  Google Scholar 

  4. Apfelberg DB: Argon laser treatment of port-wine hemangiomas: Summary of 10 year's experience. In Williams BH, editor, Symposium on Vascular Malformations and Melanotic Lesions. St Louis, CV Mosby, 1983

    Google Scholar 

  5. Arndt KA, Noe JM, Rosen S: Cutaneous Laser Therapy. New York: Wiley & Sons, 1983

    Google Scholar 

  6. Barsky SH, Rosen S, Geer DE, Noe JM: The nature and evolution of port-wine stains. A computer-assisted study. J Invest Dermatol74:154, 1980

    PubMed  Google Scholar 

  7. Bek V, Kolar J, Maresova J, Schwank R, Vrabec R: Zur Problematik der Klinik und Therapie der Hämangiome im Kindesalter: späte somatische Veränderungen nach Hämangiombestrahlung im Kindesalter. Strahlentherapie135:156, 1968

    PubMed  Google Scholar 

  8. Brown JB, Cannon B, McDowell F: Permanent pigment injection of capillary hemangiomata. Plast Reconstr Surg1:106, 1946

    Google Scholar 

  9. Clodius L, Smahel J: POR 8, a new vasconstrictor substitute for adrenaline in plastic surgery. Br J Plast Surg23:73, 1970

    PubMed  Google Scholar 

  10. Clodius L: Excision and grafting of extensive facial hemangiomas. Br J Plast Surg30:185, 1977

    PubMed  Google Scholar 

  11. Clodius L, Smahel J: Resurfacing denuded areas of the beard with full thickness scalp grafts. Br J Plast Surg32:295, 1979

    PubMed  Google Scholar 

  12. Conway H, Montroy RE: Permanent camouflage of capillary hemangiomas of face by intradermal injection of insoluable pigments (tattooing). NY State J Med65:876, 1965

    Google Scholar 

  13. Cosman B: Clinical experience in the laser therapy of port-wine stains. Lasers Surg Med1:133, 1980

    PubMed  Google Scholar 

  14. Dixon JA, Hueler S, Rotering R: Hypertrophic scarring in Argon laser treatment of port-wine stains. Plast Reconstr Surg73:77, 1984

    Google Scholar 

  15. Defourmentel C, Mouly R: Traité de chirurgie plastique. Paris: Flammarion éd., 1959

    Google Scholar 

  16. Friedrich HC: Zur Behandlung der Naevi flammei. Derm Mitt24:193, 1976

    Google Scholar 

  17. van Gemert MJC, Hulsbergen Henning JP: A model approach to laser coagulation of dermal vascular lesions. Arch Dermatol Res270:429, 1981

    PubMed  Google Scholar 

  18. Gibson T: Hemangiomas. In Mustardé JC, editor, Plastic Surgery in Infancy and Childhood. Edinburgh: Livingstone, 1979

    Google Scholar 

  19. Gilchrest BA, Rosen S, Noe JM: Chilling port-wine stains improves the response to argon laser therapy. Plast Reconstr Surg69:278, 1982

    PubMed  Google Scholar 

  20. Gillies HD, Millard DR: The Principles and Art of Plastic Surgery, vol 1. Boston: Little, Brown, & Co, 1957

    Google Scholar 

  21. Goldman L: Effects of new laser system on the skin. Arch Dermatol108:385, 1973

    PubMed  Google Scholar 

  22. Goldman L, Dreffer R: Laser treatment of mixed cavernous hemangiomas and port-wine stains. Arch Dermatol113:504, 1977

    PubMed  Google Scholar 

  23. Grabb WC, MacCollum MS, Tan NG: Results from tattooing port-wine hemangiomas. A long-term follow-up. Plast Reconstr Surg59:667, 1977

    PubMed  Google Scholar 

  24. Grabb WC, Dingman RO, O'Neal RM, Dempsey PD: Facial hamartomas in children: Neurofibroma, lymphangioma and hemangioma. Plast Reconstr Surg66:509, 1980

    PubMed  Google Scholar 

  25. Griffith HB: Tumors of the periobital region. In Kernahan D, Thomson HG, Bauer BS, editors, Symposium on Pediatric Plastic Surgery. St Louis: CV Mosby, 1982

    Google Scholar 

  26. Handthaler M, Haina D, Waidelich W, Braun-Falco O: Therapeutische Laseranwendungen in der Dermatologie. Hausarzt32:450, 1981

    Google Scholar 

  27. Hussl H, Schlägel R, Anderl H: Hämangiome. Informierter Arzt5:54, 1984

    Google Scholar 

  28. Lange WA: The hemangioma problem. J Int Coll Surg28:77, 1957

    PubMed  Google Scholar 

  29. Matthews DN: Technique and value of tattooing in plastic surgery. Proc R Soc Med40:881, 1947

    Google Scholar 

  30. Mulliken JB: Cutaneous vascular lesions of children. In Serafin D, Georiade NG editors, Pediatric Plastic Surgery. St Louis: CV Mosby, 1984

    Google Scholar 

  31. Newton RA: Surgical tattooing for port-wine stain. Canad J Otolaryngol2:25, 1973

    Google Scholar 

  32. Newton RA: An analysis of 12 year's clinical experience in treating port-wine stains. In Williams BH, editor, Symposium on vascular malformations and melanotic lesions. St Louis: CV Mosby, 1983

    Google Scholar 

  33. Noe JM, Barsky SH, Geer DE, Rosen S: Port-wine stains and the response to argon laser therapy: Successful treatment and the predictive role of color, age and biopsy. Plast Reconstr Surg65:130, 1980

    PubMed  Google Scholar 

  34. Noe JM: Predictive value of age, color and biopsy on argon laser therapy of port-wine stains. In Arndt, KA, Noe JM, Rosen S editors, Cutaneous Laser Therapy. New York: Wiley & Sons, 1983

    Google Scholar 

  35. Ohmori S, Huang CK: Recent progress in the treatment of port-wine staining by argon laser. Br J Plast Surg34:249, 1981

    PubMed  Google Scholar 

  36. Pauli: Ueber das Feuermal und die einzig sichere Methode diese Entstellung zu heilen. Siebold Arch. für Geburtshilfe, Frauenzimmer und Kinderkrankheiten.15:66, 1835

    Google Scholar 

  37. Pitanguy I: Aesthetic Plastic Srugery of Head and Body. Berlin-Heidelberg-New York: Springer-Verlag, 1981

    Google Scholar 

  38. Seipp W, Haina D, Justen V, Waidelich W: Laser-strahlen in der Dermatologie. Deutsch Dermatol26:557, 1978

    Google Scholar 

  39. Seipp W, Haina D, Justen V, Waidelich W: Erfahrungen mit dem Argon Laser. Akt Dermatol7:106, 1981

    Google Scholar 

  40. Smahel J, Clodius L: The blood vessel system of free human skin grafts. Plast Reconstr Surg47:61, 1971

    PubMed  Google Scholar 

  41. Soeda S, Nakayama Y: Surgical treatment of extensive facial hemangiomas. Jpn J Plast Reconstr Surg22:83, 1979

    Google Scholar 

  42. Solomon H, Goldman L, Henderson B, Runfield D, Frazer M: Histopathology of the laser treatment of port-wine lesions. J Invest Dermatol50:141, 1968

    PubMed  Google Scholar 

  43. Schnyder UW: Zur Klinik und Histologie der Angiome. II. Mitteilung: Die Feuermäler (Naevi teleangiectatici). Arch Dermatol Syph198:51, 1954

    Google Scholar 

  44. Schnyder UW: Zur Klinik und Histologie der Angiome. III. Zur Histologie des Naevus flammeus. Arch Dermatol Syph200:483, 1955

    Google Scholar 

  45. Stricker M, Chassagne JF, Flot F, Pabst A, Meley M: Les angiomes plans faciaux. Ann Chir Plast26:221, 1981

    PubMed  Google Scholar 

  46. Thomson HG, Wright AM: Surgical tattooing of port-wine stains. Plast Reconstr Surg48:113, 1971

    PubMed  Google Scholar 

  47. Thomson HG: Pediatric plastic surgery. Surg Clin North Am57:1069, 1977

    PubMed  Google Scholar 

  48. Thomson HG: Hemangioma, lymphangioma and arteriovenous fistula. In Grabb WC, Smith JW, editors, Plastic Surgery, third edition. Boston: Little, Brown & Co, 1979

    Google Scholar 

  49. Turner D: De morbis cutaneis. A treatise of diseases incident to the skin. London: Wilkin, Bonwicke, Birt, Ward & Wicksteed, 1736

    Google Scholar 

  50. Veltman G, Stein G, Hardt E: Die Strahlenbehandlung des Naevus flammeus. Strahlentherapie135:385, 1968

    PubMed  Google Scholar 

  51. Wengle HP, Clodius L: Psyhosoziale Probleme und ihre Bewältigung bei Patienten mit Feuermal im Gesicht. Achweiz Med Wochenschr.113:290, 1983

    Google Scholar 

  52. Williams HB: Facial bone changes with vascular tumors in children. Plast Reconstr Surg63:309, 1979

    PubMed  Google Scholar 

  53. Wulf K: Behandlung von Hämangiomen bei Kindern. Chir Prax18:133, 1974

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Clodius, L. Surgery for the extensive facial port-wine stain?. Aesth. Plast. Surg. 9, 61–68 (1985). https://doi.org/10.1007/BF01570330

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01570330

Key words

Navigation