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May 1967

Surgery for Correction of Labial Angiomas

Arch Surg. 1967;94(5):728-733. doi:10.1001/archsurg.1967.01330110144019

ANGIOMAS are vascular tumors that can appear in any part of the body.1-3 The present paper is restricted to those located in the lips, of more than 1½ cm in dimension, with involvement of the vermilion border. Surgical treatment in the past has sometimes been discouraging, as it requires destruction of a large part of the lip, including the vermilion border, and the plastic repair may present certain difficulties. Treatment by radiation may be either insufficient, leaving residues, or over destructive, provoking radiodermatitis or radionecrosis of neighboring healthy skin or bone. Incomplete surgical extirpation is also not infrequent, followed by inadequate repair, resulting in a defective lip. Weisman,4 in a paper on labial angioma, emphasized the difficulties of treatment.

In our surgical department, a more optimistic view is justified after the good results obtained by surgical repair with flaps taken from the tongue.5,6 Bakamjian,7 in 1964,