Plastic surgery; its principles and practice . -pe. Treatment of Port-wine Marks.—The smooth port-wine markoften situated on the face, is verv difficult to handle. The result of. Fig. 176.—Port-wine mark involving the face. Congenital.—Note that the angioma-tous involvement does not past the midline. The warty-looking areas are pro-jecting masses of angiomatous tissue of a different type. .r-ray treatment is unsatisfactory. Curtis Burnam tells me that excel-lent lasting results are obtained by the use of radium in the case ofchildren, but that adults do not respond nearly so well. The
Plastic surgery; its principles and practice . -pe. Treatment of Port-wine Marks.—The smooth port-wine markoften situated on the face, is verv difficult to handle. The result of. Fig. 176.—Port-wine mark involving the face. Congenital.—Note that the angioma-tous involvement does not past the midline. The warty-looking areas are pro-jecting masses of angiomatous tissue of a different type. .r-ray treatment is unsatisfactory. Curtis Burnam tells me that excel-lent lasting results are obtained by the use of radium in the case ofchildren, but that adults do not respond nearly so well. The Paquelin or electric cautery has been used with success, as faras destroying the brilliant color, in searing the port-wine marks,but if the burn is deep enough to destroy the capillaries a definite scar 2 28 PLASTIC SURGERY is left. Multiple superficial punctures with a fine-pointed cautery havebeen tried with partial success. The electric needle has also been usedwith about the same result. All of these cauterizing methods arepainful. In my hands the best results have followed treatment with carbondioxid snow, either compressed or as a mush in ether. Personally, Ipre
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