Arterio Venous Malformation of the Face: Surgical Treatment

Tiwari, Ruchika; Singh, Vikas Kunwar

doi:10.1007/s12663-011-0270-5

Cited by 12 publications

(9 citation statements)

References 15 publications

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“…The primary surgical excision of the VM is done in view of the cost factor and non availability of the treatment by interventional angiography and embolization for preoperative reduction in the size of the lesion. 17 The main reason of preferring the adjuvant therapy before surgical intervention was to reduce the size of the swelling by minimizing its blood supply and directly reduce the amount of blood loss during surgery. In children, the high flow vascular malformation with hypertension and those with ulceration and bleeding are treated initially by B-blocker and embolization.…”

Section: Discussionmentioning

confidence: 99%

“…The main aim of this article is to present our experience of 20 various cases of vascular malformations affected at different parts of the body, in various age group and criteria for selection for the primary surgical intervention without any adjuvant therapy. 17,18 The parents of the patients in pediatric age group are reluctant to prefer the surgical mode of treatment and most of the time the parents make enquiry about the nonsurgical adjuvant therapy. Till the parents/guardian reach the decision about the surgical mode of treatment, they approach multiple consultants for opinion.…”

Section: Discussionmentioning

confidence: 99%

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Single stage surgical excision for vascular malformation without any pre-operative adjuvant therapy: our experience regarding case selection in 20 patients

Naik

Karandikar

2018

Int Surg J

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Background: Vascular malformations generally present in young population. The patients or their guardians seek treatment for alleviation of functional and/or cosmetic disfigurement. Non-invasive techniques with or without surgery are available, however surgical treatment has been found to be most definitive modality of treatment in selected cases of vascular malformations. In this article, we are presenting our experience of single stage partial/total excision of vascular malformation of various types, at different location on body without any adjuvant treatment with emphasis on the post-operative outcome. The aim of the study was to evaluate criteria for case selection, freedom from symptoms, cosmetic outcome, functional improvement, long term post-operative result and quality of life.Methods: This study was performed to assess outcome of surgical treatment for 20 patients of vascular malformation. Fourteen were offered primary surgery and 6 out of 20 had received prior non-invasive treatment. The post-operative follow-up period was minimum 6 months and maximum for 4 years.Results: The patients who underwent primary surgery were more satisfied than those who had received non-invasive treatment before surgery. This was because of satisfactory cosmetic outcome, minimal post-operative pain of short duration, no post-operative residual wound and minimal post-operative morbidity.Conclusions: For treatment of vascular malformations, surgery can be offered as the primary and only treatment modality in selected cases because of immediate resolution of mass, minimal complications, satisfactory functional outcome and acceptable cosmetic appearance. Also, this improved patient compliance and long term follow up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Single stage surgical excision for vascular malformation without any pre-operative adjuvant therapy: our experience regarding case selection in 20 patients

Naik

Karandikar

2018

Int Surg J

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“…Radiographic evaluation may be helpful in determining the exact extent, location and flow dynamics of some lesions. [ 1 ] The present case report describes AVM of the face and upper lip in a 35-year-old male.…”

Section: Introductionmentioning

confidence: 95%

“…Long ago, the difference between the true hemangioma and the less common vascular malformation was first recognized by James Wardrop, a London surgeon, in 1818. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

Giant arteriovenous malformation of the face and upper lip

Hunasgi

Koneru

Vanishree

et al. 2019

J Oral Maxillofac Pathol

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A 35-year-old male patient reported with the chief complaint of a large swelling in the right side of the upper lip. The lesion measured 6.5 cm measuring from the infraorbital region to the lower border of mandible on the right side of the face and 7.5 cm from the right ear lobule to the contralateral commissure of the left side of the face. On palpation, the swelling was soft, fluctuant and compressible. Pulsations were felt, and on auscultation, bruit was also heard. Computed tomography angiogram of the neck and circle of Willis showed serpiginous hyperdense vascular channels causing significant soft-tissue thickening of the upper lip, right cheek region and philtrum. Hence, the diagnosis of diffuse subcutaneous facial arteriovenous malformation involving the right cheek and philtrum was given. The entire lesion was excised. In the postoperative 2nd month, secondary cosmetic correction or lip reconstruction was done. The patient was reviewed after 3 years; there was no recurrence of the lesion.

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“…Sclerotherapy either alone or in combination with embolization has been used as an independent method for the treatment of PVMs. It can also be used as an adjunct to surgery [ 2 - 3 ]. Various agents are used in sclerotherapy and the embolization of PVMs, including sodium tetradecyl sulfate (STS), bleomycin, ethanol, ethanolamine oleate, glue, covered stents, coils, polyvinyl alcohol particles (PVA), and gel foam.…”

Section: Introductionmentioning

confidence: 99%

Role of Interventional Radiology in the Management of Peripheral Vascular Malformations: A Tertiary Care Center Experience

Tahir

Mumtaz

Sultan

et al. 2018

Cureus

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Peripheral vascular malformations (PVMs) represent a wide spectrum of vascular abnormalities occurring due to anomalous connections between arteries, veins, capillaries, and lymphatic channels at the microscopic level, in different combinations. They are rare and challenging to treat. Different operators may have different approaches based on their experience and expertise. Sclerotherapy either alone or in combination with embolization has been used as an independent method for the treatment of PVMs.PurposeThe aim of this study is to assess the safety and efficacy of sclerotherapy and embolization, with or without surgery, for the treatment of peripheral vascular malformations, based on our approach.Materials and methodsA retrospective review of all patients with PVMs treated in our interventional radiology department from 2011 to 2017 was carried out. Medical records, imaging, and follow-up notes were reviewed to evaluate the response to treatment and post-procedure complications.ResultsThirty-four sessions were performed in 15 patients (eight male, seven female) with PVMs. Low-flow lesions were identified in 10, intermediate flow in one, and high flow in four patients. Sodium tetradecyl sulfate (STS) was used as the sclerotherapeutic agent in 10 (66.67%), glue with lipoidal in three (20.0%), and bleomycin in one patient (6.67%). Coils with PVA and a covered stent were used in one and a combination of coil, PVA, and gel foam was used in one patient. A marked response was seen in 11 and a partial response in four patients. One patient developed foot gangrene. Stent thrombosis was noted in one patient with no clinical consequences. Recurrence was seen in two patients, who were lost to follow up.ConclusionPVMs are complex lesions. Sclerotherapy with or without embolization is a safe and effective treatment modality, with clinical response approaching 100%.

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Arterio Venous Malformation of the Face: Surgical Treatment

Cited by 12 publications

References 15 publications

Single stage surgical excision for vascular malformation without any pre-operative adjuvant therapy: our experience regarding case selection in 20 patients

Single stage surgical excision for vascular malformation without any pre-operative adjuvant therapy: our experience regarding case selection in 20 patients

Giant arteriovenous malformation of the face and upper lip

Role of Interventional Radiology in the Management of Peripheral Vascular Malformations: A Tertiary Care Center Experience

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