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Verrucous hemangioma: an optimized surgical approach
1Department of Plastic Surgery, Yenepoya Medical College, Mangalore; Department of Dermatology Yenepoya Medical college, Mangalore, India.
Journal of Cutaneous and Aesthetic Surgery
|March 25, 2011
Summary
A rare angiokeratoma on a young girl's toe was successfully treated with wide local excision and a V-Y plantar digital artery flap. This surgical approach ensured complete lesion removal while preserving the digit's form and appearance.
Area of Science:
- Dermatology
- Vascular Surgery
- Plastic Surgery
Background:
- Angiokeratomas are benign vascular malformations that can present as warty lesions.
- Solitary, exuberant angiokeratomas, especially in pediatric patients, pose a surgical challenge.
- Preserving digital structures during lesion excision is crucial for function and aesthetics.
Observation:
- A 14-year-old female presented with a solitary, exuberant, warty plaque on her right great toe, present since age 4.
- Initial excisional biopsy 10 years prior yielded a histopathological diagnosis of angiokeratoma.
Findings:
- A wide local excision of the angiokeratoma was performed.
- A V-Y plantar digital artery flap was utilized for reconstruction adjacent to the excision site.
- The procedure resulted in complete removal of the lesion and excellent preservation of the digit's color and contour.
Implications:
- This case highlights the successful application of a V-Y plantar digital artery flap for managing extensive digital angiokeratomas.
- The technique offers a viable reconstructive option for similar challenging cases, balancing oncological and functional outcomes.
- This approach demonstrates the importance of specialized surgical techniques in pediatric plastic and reconstructive surgery for optimal digital preservation.
