Massive glosso-cervical arteriovenous malformation: the rationale for a challenging surgical resection
Mostra el registre complet de l'element
Visualització
(545.6Kb)
|
|
|
|
|
|
González García, R.; Rubio Correa, Isidoro; Moreno García, C.
|
|
Aquest document és un/a article, creat/da en: 2014
|
|
|
|
Massive arterivenous malformations (AVM) in the cervico-facial area are rare but potentially life-threatening.
Treatment protocols are not well-established. A 41-year old man presented large painless rubber-like mass within
the entire neck, which also extended intraorally through the floor of the mouth, showing a slow growing pattern
for 5 years. Angiography diagnosed it as cervicofacial AVM. Treatment approach consisted on the embolization
of the right upper thyroid, lingual and facial arteries under intravenous sedation. Three days later, bilateral radical
neck dissection and subtotal glossectomy was performed. A musculo-cutaneous pectoralis major pedicled flap was
harvested to reconstruct the floor of the mouth. Treatment of massive AVMs in the cervico-facial area is challenging due to the associated disfigurement and frequent recurrence rate due to incomplete resection. Also, massive
bleeding may be present despite pre-operative super-selective embolization. A new case is presented with focus on
surgical treatment considerations.
|
|
Veure al catàleg Trobes
|
Aquest element apareix en la col·lecció o col·leccions següent(s)
Mostra el registre complet de l'element