The Role Of Purse String Closure As The Primary Treatment Of Hemangioma
DOI:
https://doi.org/10.14228/jpr.v1i1.26Keywords:
hemangioma, excision, purse-string closure, tissue expanderAbstract
Hemangioma is a common congenital disorder which happens in neonates or infant, with predilection sites in the face and neck. Not every case of hemangioma requires a surgical treatment. Some will regress spontaneously. In some cases which requires resection, the aesthetic aspects of the repair must be considered as the sites of the lesion involved the face and neck areas, which is greatly exposed.
Two patients with hemangioma of the left cheek were admitted to Plastic Surgery Department of Cipto Mangunkusumo Hospital. The patients underwent excision and primary closure with purse string technique. Patients were evaluated at one week after surgery and a
month after to assess scar appearance.
Follow up evaluation revealed less visible scar compared to the immediate result. A well-known technique used by many plastic surgeons is the circular incision followed by purse-string closure. The use of this technique was known to produce less visible scar. Hemangiomas acts as a tissue expander, which make it applicable to close the defect using purse string closure.
References
1. Mulliken JB. Rogers MD. Marlers JJ. Circular excision of hemangioma and purse string closure: The smallest possible scar. PlastReconstr Surg. 2002 Apr 15;109(5):1544-54 DOI: https://doi.org/10.1097/00006534-200204150-00009
2. Yuen JC. Versatility of the subcuticular purse- string suture in wound closure. PlastReconstr Surg.1996 Dec;98(7):1302-5. DOI: https://doi.org/10.1097/00006534-199612000-00032
3. Burns AJ. Navarro JA, Cooner RD. Classification of vascular anomalies and the comprehensive treatment of hemangiomas.PlastReconstr Surg. 2009 Jul;124(1 Suppl):69e-81e. DOI: https://doi.org/10.1097/PRS.0b013e3181aa1015
4. Buckmiller LM. Update on hemangiomas and vascular malformations. CurrOpinOtolaryngol Head Neck Surg 12:476–487. DOI: https://doi.org/10.1097/01.moo.0000145946.67222.01
5. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: A classification based on endothelial characteristics. PlastReconstr Surg. 1982 Mar;69 (3):412-22. DOI: https://doi.org/10.1097/00006534-198203000-00002
6. Killic A. Presutured purse-string suture and second purse0string suture for both reduction Jurnal Plastik Rekonstruksi - January 2012 29 and closure of skin defects. 2002 Apr 15;109(5):1758-60. DOI: https://doi.org/10.1097/00006534-200204150-00064
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Copyright (c) 2012 Aditya Wardhana, Tessa M. Atmaja
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