Surgical treatment of buccofacial region vascular anomalies using an intraoral buccomucosal flap procedure.

OBJECTIVE

To report our experience in and our surgical technique of treating vascular anomalies of the buccofacial region using an intraoral buccomucosal flap approach.

DESIGN

Retrospective medical record review and illustration of a specific surgical procedure.

SETTING

Academic tertiary care center.

PATIENTS: Thirty-two patients with vascular anomalies of the buccofacial region who have been treated using the intraoral buccomucosal flap approach.

INTERVENTION: Surgical therapy using an intraoral buccomucosal flap approach.

MAIN OUTCOME MEASURES: Surgical outcomes and complications.

RESULTS

Thirty-two patients were treated using the intraoral buccomucosal flap approach. The vascular anomalies treated at this site were venous malformations (17 [53.1%]), lymphatic malformations (13 [40.6%]), and hemangiomas (2 [6.3%]). Surgical removal was accomplished without occurrence of facial nerve dysfunction or other morbidity. The most frequent postoperative problem encountered was scarring with lymphatic malformation treatment.

CONCLUSION

The intraoral buccomucosal flap procedure is an effective surgical technique for treating vascular anomalies of the buccofacial region.