The Treatment of Extensive Arteriovenous Malformations in the Head
Languages of publication
Vascular tumours and malformations are revealed at birth and do not subside. The aim of the study was to present the principles and outcomes of treatment of patients with arteriovenous malformations treated at the Clinic of Plastic Surgery in Polanica Zdrój in the years 2009- 2010. Only one patient, who had not been treated previously, had the lesion on the cheek removed subtotally and the defect was closed by means of local repair. In the remaining patients, with primary lesions located in the auricle, scalp, and cheeks, the indications for operation included recurrent infections, ulcerations, and first of all, massive, life-threatening haemorrhages. All the patients, treated for many years in other centres, had underwent numerous resection procedures, vessel ligations, embolizations and obliterations. The patients were followed up after the surgery every 6 months. The therapy aim was achieved in all the patients. Vascular tumours were removed totally or subtotally, the lost structures were reconstructed and permanent healing of the wound was achieved. None of the patients developed recurrence of the disease, infection, or bleeding.
1 - 02 - 2013
22 - 03 - 2013
- 1. Mulliken JB, Głowacki J: Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 1982; 69: 412-22.[PubMed][Crossref]
- 2. Fishman SJ , Mulliken JB: Haemangiomas and vascular malformations of infancy and childhood. Pediatr Clin North Am 1993; 40(6): 1177-1200.[PubMed]
- 3. Introduction: ISSVA classification. In: Color atlas of vascular tumors and vascular malformations. Enjolras O, Wassef M, Chapot R, editors. New York: Cambridge University Press; 2007: 1-11.
- 4. Enjolras O: Classification and managment of the various superficial vascular anomalies: hemangiomas and vascular malformations. J Dermatol 1997, 24: 701-10.
- 5. Mulliken JB, Zetter BR, Folkman J: In vitro characteristics of endothelium from hemangiomas and vascular malformations. Surgery 1982, 92: 348-53.[PubMed]
- 6. Mulliken JB: State of the art and future trendsround table on hemangiomas. 10th International Workshop on Vascular Anomalies, Budapest June 1994.
- 7. Szymik-Kantorowicz S: Nieprawidłowości naczyniowe u dzieci. Problemy chirurgii dziecięcej. Red. Grochowski J. PZWL, Warszawa 1995; 22: 20-26.
- 8. Chiller KC , Frieden IJ ,Arbiser JL : Molecular pathogenesis of vascular anomalies, classification in three categories based upon clinical and bichemical characteristics. Lymph Res Biol 2003; 1: 267-81.[Crossref]
- 9. Mulliken JB, Young AE : Vascular Birthmarks: Hemangiomas and Malformations. WB Saunders, Philadelphia: 1988.
- 10. E njolras O: Vascular Tumors and vascular malformations: Are we at the dawn of a better knowledge? Pediatric Dermatology 1999; 16 (3): 328-41.
- 11. Waner M, Suen JY : A classification of congenital vascular lesion. Haemangiomas and vascular malformations of the head and neck. John Wiley and Sons, Inc.; New York 1999; 1-12
- 12. Upton J, Coombs CJ , Mulliken JB et al.: Vascular malformations of the upper limb: a review of 270 patients. J Hand Surg 1999; 24 (5): 1019-3515.
- 13. Kim K: Arteriovenous malformation in the pretragal region: case report. Head Neck 2011; 33(2): 281-85.[PubMed]
- 14. Kohout MP, Hansen M, Pribaz JJ , Mulliken JB: Arterivenous malformations of the head and neck: natural history and management. Plast ReconstrSurg 1998 102(3): 643-54.
- 15. Hormozi AK ,Shafii MR: Supraclavicular flap; reconstructive strategy for massive facial arteriovenous malformations. J Cranifacial Surg 2011; 22(3): 931-36.[PubMed]
- 16. Visser A, Fitz JT , Tan ST : Surgical management of arteriovenous malformation. J Plast ReconstrSurg 2011; 64 (3): 289-91.
- 17. Richter GT,Suen JY : Clinical course of arteriovenous malformatins of the head and neck: a case series. Otolaryngol Head Neck Surg 2010; 142(2): 184-90.[Crossref][PubMed][WoS]
- 18. Hartzell LD , Stack BC, Yuen J et al.: Free Tissue reconstruction following excision of head and neck arteriovenous malformations. Arch FacialPlast Surg 2009; 11(3): 171-77
Publication order reference