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KMID : 1033720230240030124
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Archives of Craniofacial Surgery
2023 Volume.24 No. 3 p.124 ~ p.128
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Lymphaticovenular anastomosis for Morbihan disease: a case report
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Hong Jung-Hyun
Changryul Claud Yi
Lee Jae-Woo
Bae Yong-Chan
Kim Ryuck-Seong
Kim Joo-Hyoung
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Abstract
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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.
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KEYWORD
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Case reports, Edema, Eyelids, Lymphedema, Therapeutics
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