Background: Vascular malformations include diverse
group of lesions that usually present with both diagnostic and
therapeutic challenges. Venous vascular malformations are
generally simple, low flow lesions with abnormal venous
network. They are congenital lesions, but clinically they
become more obvious during the adolescent period. Most of
these lesions are improperly diagnosed due to confusion in
terminology with other lesions such as hemangiomas, and
other low flow vascular malformations that often results in
improper management.
Aim of the Study: In this study, we aim to propose and
assess reliability and reproducibility of a new modality in
management of venous vascular malformation in the lip by
ligation of the malformation using multiple transfixing sutures
technique avoiding excision and hence avoiding distortion of
anatomy, as the muscle is usually inevitably involved.
Patients and Methods: 15 patients with venous vascular
malformation of the lip were included in this study. 9 females
and 6 males with average age 28 (9-37) years old. Ligation
of the venous malformation was done in all cases by transfixing
sutures. Ligation could be done in single or multiple stages
according to the size of the venous malformations.
Results: 14 patients had an uneventful postoperative
period. Whereas, there was postoperative bleeding in one
patient. The lesions were successfully managed with surgical
ligation by transfixion only without excision, with no major
postoperative complications. One year follow-up period
revealed no recurrence.
Conclusion: Management of venous vascular malformations
of the lip by using multiple transfixing sutures for
ligation is a good surgical technique avoiding injury of the
muscle during surgical excision, and thus preservence of
functional and aesthetic outcome with minimal surgical intervention.