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CC BY 4.0 · Arch Plast Surg
DOI: 10.1055/s-0044-1792168
Case Report

Successful Treatment of Primary Eyelid Lymphedema by Periorbital Lymphovenous Anastomosis: A Case Report

Han Gyu Cha 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
,
Dong Yun Hyun 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
,
Eun Soo Park 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
,
Chang Yong Choi 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
,
Seung Min Nam 
1   Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
› Author Affiliations Funding This research was partially supported by the Soonchunhyang University Research Fund and supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (RS-2023-00211517).
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Abstract

Eyelid lymphedema is a rare condition that presents as persistent swelling and non-pitting edema of the eyelids. Treatment options for this disease are limited, including surgical debulking and medications, which do not achieve complete resolution. Few studies have demonstrated the use of lymphovenous anastomosis (LVA) in the preauricular area for eyelid lymphedema treatment. In this report, we demonstrate the successful treatment of primary eyelid lymphedema by performing multiple LVAs in the periorbital region, where dermal backflow was visualized using indocyanine green lymphography. A total of four LVAs were performed through two separate incisions at the lateral canthal area and lateral eyebrow in a patient with unilateral upper eyelid lymphedema that resulted in significant improvement without recurrence.

Keywords

lymphedema - lymphovenous anastomosis - eyelid lymphedema - facial lymphedema - lymphovenous bypass

Authors' Contributions

Conceptualization: H.G.C.


Methodology: D.Y.H, E.S.P, C.Y.C, S.M.N.


Writing—original draft: H.G.C.


Writing—review and editing: H.G.C.


Ethical Approval

This study was conducted in accordance with the principles of the Declaration of Helsinki.


Patient Consent

The patient provided written informed consent for the publication and the use of his images.




Publication History

Received: 27 February 2024

Accepted: 01 October 2024

Article published online:
27 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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