Description

The distribution of port wine stains over the face depends on the embryonic vascular configuration.


Patient selection: neonate with facial port wine stains

 

There are 3 embryonic vascular configurations - S1, S2 and S2.

 

Anatomic deliminators:

(1) horizonal line through both left and right inner and outer canthi

(2) horizontal line through the corners of the mouth

 

Segment

Description

S1

forehead and supraorbital regions, upper eyelids, entire nose and philtrum

S2

maxillary and zygomatic regions below the eyes, including lower eyelid

S3

mandibular

 

Segments:

(1) left S1

(2) left S2

(3) left S3

(4) right S1

(5) right S2

(6) right S3

 

Involvement of Segment

Score

0%

0

1 to 25%

1

26 to 50%

2

51 to 75%

3

76 to 100%

4

 

total score for the left side of the face =

= SUM(points for the left side segments)

 

total score for the right side of the face =

= SUM(points for the right side segments)

 

Interpretation:

• minimum score for each side: 0

• maximum score for each side: 12

• minimum score for entire face: 0

• maximum score for entire face: 24


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