Lymphaticovenular anastomosis for Morbihan disease: a case report
Archives of Craniofacial Surgery
; : 124-128, 2023.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-999526
Responsible library:
WPRO
ABSTRACT
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2023
Document type:
Article