Reconstruction of the Face Using Thoracodorsal Artery Perforator Free Flap after Resection of Arteriovenous Malformation
Journal of the Korean Cleft Palate-Craniofacial Association
;
: 44-48, 2009.
Article
in Korean
| WPRIM
| ID: wpr-9442
ABSTRACT
PURPOSE:
The treatment of arteriovenous malformation (AVM) of the face remains a difficult challenge in plastic surgery. Incomplete resection resulting in uncontrolled bleeding, postoperative enlargement of the remaining malformation, and a poor functional and cosmetic result could be the problems confronted by the surgeons.METHODS:
A 37 year-old male with large arteriovenous malformation in face treated with preoperative superselective transarterial embolization and free flap transfer. The size of the defect was 13 x 9 cm. Sclerotheraphy without resection were performed several times but the results were unsatisfactory. Resection was performed the next day of embolization. We were able to repair with the thoracodorsal artery perforator free flap. And facial muscle reconstruction performed by simultaneous muscle and nerve transfer.RESULTS:
During the follow-up period 8 months the patient regained an acceptable cosmetic appearance. And he has shown no reexpansion of the malformation.CONCLUSION:
The thoracodorsal artery perforator free flap could be a good choice for the reconstruction for massive defects of the face. A huge arteriovenous malformation could be safely removed and successfully reconstructed by the complete embolization, wide excision and coverage with a well vascularized tissue.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Arteriovenous Malformations
/
Surgery, Plastic
/
Follow-Up Studies
/
Nerve Transfer
/
Cosmetics
/
Facial Muscles
/
Free Tissue Flaps
/
Hemorrhage
/
Muscles
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Cleft Palate-Craniofacial Association
Year:
2009
Type:
Article
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