| Autor: |
Hong JH; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Yi CC; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Lee JW; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Bae YC; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea., Kim RS; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Kim JH; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. |
| Abstrakt: |
Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper twothirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD. |
