J Korean Cleft Palate-Craniofac Assoc Search


Arch Craniofac Surg > Epub ahead of print
DOI: https://doi.org/10.7181/acfs.2022.01067    [Epub ahead of print]
Published online April 27, 2023.
Lymphaticovenular anastomosis for Morbihan disease: a case report
Jung Hyun Hong1  , Changryul Claud Yi1  , Jae Woo Lee1  , Yong Chan Bae1,2  , Ryuck Seong Kim1  , Joo Hyoung Kim1,2 
1Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
Correspondence:  Joo Hyoung Kim,
Email: medic144@hanmail.net
Received: 22 November 2022   • Revised: 9 January 2023   • Accepted: 2 March 2023
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.
Keywords: Case reports / Edema / Eyelids / Lymphedema / Therapeutics
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  •   Scopus
  • 1,706 View
  • 16 Download
Related articles in ACFS

Treatment of Morbihan disease2021 June;22(3)

Traumatic Superior Orbital Fissure Syndrome: Case Report.2003 October;4(2)


Browse all articles >

Editorial Office
Dept. of Plastic and Reconstructive Surgery Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 61469, Korea
Tel: +82-62-220-6354    Fax: +82-62-220-6357    E-mail: office_acfs@kcpca.or.kr                

Copyright © 2023 by Korean Cleft Palate-Craniofacial Association.

Developed in M2PI

Close layer
prev next