Surgery for Port-Wine Stains: A Systematic Review.
capillary malformations
laser therapy
port-wine stains
surgery
tissue hypertrophy
Journal
Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269
Informations de publication
Date de publication:
28 Jun 2023
28 Jun 2023
Historique:
received:
30
04
2023
revised:
24
06
2023
accepted:
26
06
2023
medline:
29
7
2023
pubmed:
29
7
2023
entrez:
29
7
2023
Statut:
epublish
Résumé
Port-wine stains (PWS) are congenital low-flow vascular malformations of the skin. PWS tend to become thicker and darker with time. Laser therapy is the gold standard and the first-line therapy for treating PWS. However, some resistant PWS, or PWS that have tissue hypertrophy, do not respond to this therapy. Our aim is to evaluate the role of surgery in the treatment of PWS birthmarks. A literature search was performed in PubMed, Scopus, Web of Science (WOS) and Google Scholar for all papers dealing with surgery for port-wine stains, from January 2010 to December 2020 using the search strings: (capillary vascular malformation OR port-wine stains OR Sturge Weber Syndrome OR sws OR pws) AND (surgical OR surgery). Ten articles were identified and used for analysis. They were almost all case series with a short follow up period and lacked an objective-systematic score of evaluation. Delay in treatment of port wine stains may result in soft tissue and bone hypertrophy or nodules with disfiguring or destructive characteristics. The correction of PWS-related facial asymmetry often requires bone surgery followed by soft tissue corrections to achieve a more harmonious, predictable result.
Sections du résumé
BACKGROUND
BACKGROUND
Port-wine stains (PWS) are congenital low-flow vascular malformations of the skin. PWS tend to become thicker and darker with time. Laser therapy is the gold standard and the first-line therapy for treating PWS. However, some resistant PWS, or PWS that have tissue hypertrophy, do not respond to this therapy. Our aim is to evaluate the role of surgery in the treatment of PWS birthmarks.
METHODS
METHODS
A literature search was performed in PubMed, Scopus, Web of Science (WOS) and Google Scholar for all papers dealing with surgery for port-wine stains, from January 2010 to December 2020 using the search strings: (capillary vascular malformation OR port-wine stains OR Sturge Weber Syndrome OR sws OR pws) AND (surgical OR surgery).
RESULTS
RESULTS
Ten articles were identified and used for analysis. They were almost all case series with a short follow up period and lacked an objective-systematic score of evaluation.
CONCLUSIONS
CONCLUSIONS
Delay in treatment of port wine stains may result in soft tissue and bone hypertrophy or nodules with disfiguring or destructive characteristics. The correction of PWS-related facial asymmetry often requires bone surgery followed by soft tissue corrections to achieve a more harmonious, predictable result.
Identifiants
pubmed: 37511671
pii: jpm13071058
doi: 10.3390/jpm13071058
pmc: PMC10381445
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
Arch Plast Surg. 2012 Mar;39(2):126-9
pubmed: 22783511
BMJ. 2009 Jul 21;339:b2700
pubmed: 19622552
J Craniofac Surg. 2019 Oct;30(7):2124-2127
pubmed: 31503119
J Craniomaxillofac Surg. 2018 Oct;46(10):1790-1792
pubmed: 30139543
Aesthetic Plast Surg. 2011 Oct;35(5):795-801
pubmed: 21424172
Plast Reconstr Surg. 2001 Sep 15;108(4):842-7
pubmed: 11547137
Otolaryngol Clin North Am. 2018 Feb;51(1):197-211
pubmed: 29217063
J Am Acad Dermatol. 2009 Apr;60(4):669-75
pubmed: 19167781
Ann Plast Surg. 2016 Jan;77(1):13-6
pubmed: 25393498
Plast Reconstr Surg. 1997 Dec;100(7):1674-81
pubmed: 9393463
J Am Acad Dermatol. 2016 Jul;75(1):64-8
pubmed: 27004804
Curr Opin Otolaryngol Head Neck Surg. 2019 Jun;27(3):219-226
pubmed: 31033528
Oral Maxillofac Surg. 2018 Sep;22(3):347-348
pubmed: 29911281
J Pediatr Surg. 2020 Nov;55(11):2459-2465
pubmed: 31948669
JAMA Dermatol. 2021 Jan 1;157(1):98-104
pubmed: 33175124
Pediatrics. 2015 Jul;136(1):e203-14
pubmed: 26055853
Dermatol Surg. 2015 Nov;41(11):1241-5
pubmed: 26506066
Int J Mol Sci. 2019 May 07;20(9):
pubmed: 31067686
Plast Reconstr Surg. 2014 Nov;134(5):1003-1012
pubmed: 25054247
Trans Am Ophthalmol Soc. 2013 Sep;111:180-215
pubmed: 24385674
Plast Reconstr Surg. 2011 Feb;127(2):784-791
pubmed: 21285782
J Cosmet Dermatol. 2020 Dec;19(12):3307-3314
pubmed: 32307862
Semin Pediatr Neurol. 2015 Dec;22(4):295-301
pubmed: 26706016
Plast Reconstr Surg Glob Open. 2016 Aug 15;4(8):e843
pubmed: 27622111
Br J Oral Maxillofac Surg. 2019 Dec;57(10):1143-1147
pubmed: 31733879