Surgical treatment of buccofacial region vascular anomalies using an intraoral buccomucosal flap procedure.

OBJECTIVE To report our experience in and our surgical technique of treating vascular anomalies of the buccofacial region using an intraoral buccomucosal flap approach. DESIGN Retrospective medical record review and illustration of a specific surgical procedure. SETTING Academic tertiary care center. PATIENTS Thirty-two patients with vascular anomalies of the buccofacial region who have been treated using the intraoral buccomucosal flap approach. INTERVENTION Surgical therapy using an intraoral buccomucosal flap approach. MAIN OUTCOME MEASURES Surgical outcomes and complications. RESULTS Thirty-two patients were treated using the intraoral buccomucosal flap approach. The vascular anomalies treated at this site were venous malformations (17 [53.1%]), lymphatic malformations (13 [40.6%]), and hemangiomas (2 [6.3%]). Surgical removal was accomplished without occurrence of facial nerve dysfunction or other morbidity. The most frequent postoperative problem encountered was scarring with lymphatic malformation treatment. CONCLUSION The intraoral buccomucosal flap procedure is an effective surgical technique for treating vascular anomalies of the buccofacial region.