A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement
Summary:. The management of large, deforming facial arteriovenous malformations (AVMs) can be a daunting clinical challenge for patients and surgeons. Many patients delay treatment due to fear of surgical intervention and concern for unfavorable cosmetic outcomes. Delaying treatment can lead to soft...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004816 |
| _version_ | 1797894199580819456 |
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| author | Brody W. King, MD Eric W. Anderson, MD Jack D. Sudduth, MD, MS Jessica L. Marquez, BA Mitch Dunklebarger, MD Lucia Collar-Yagas, MD Barbu Gociman, MD, PhD |
| author_facet | Brody W. King, MD Eric W. Anderson, MD Jack D. Sudduth, MD, MS Jessica L. Marquez, BA Mitch Dunklebarger, MD Lucia Collar-Yagas, MD Barbu Gociman, MD, PhD |
| author_sort | Brody W. King, MD |
| collection | DOAJ |
| description | Summary:. The management of large, deforming facial arteriovenous malformations (AVMs) can be a daunting clinical challenge for patients and surgeons. Many patients delay treatment due to fear of surgical intervention and concern for unfavorable cosmetic outcomes. Delaying treatment can lead to soft-tissue hypertrophy. Occasionally, facial AVMs can also present with lip involvement, necessitating surgical intervention. A major potential issue regarding AVMs managed with surgical excision is excessive bleeding due to the enlarged dermal vascular plexus. Here, we present a simple surgical technique used to manage deforming AVMs involving the lips. A 32-year-old man with Sturge-Weber syndrome and a 72-year-old man with AVMs of the left face presented to clinic for management. The malformations involved the lips in both patients. Both patients had constant drooling and difficulty eating and talking, in addition to aesthetic concerns. They both underwent surgical excision of the redundant tissue with minimal undermining, advancement flaps, and layered closure. Minimal undermining allowed successful removal of the AVMs and redundant tissue without excessive blood loss and allowed healing without complications. Both patients had significant improvement in eating and talking without drooling. Aesthetically, satisfactory outcomes were maintained at 1-year follow-up appointments. Removal of AVMs while minimizing blood loss can be a challenging endeavor. Here, we have presented a successful, effective technique for restoring both form and function in patients with AVMs involving the lips, with good long-term results. |
| first_indexed | 2024-04-10T07:05:04Z |
| format | Article |
| id | doaj.art-8239bb52f00b427d833391ff9c92ecbd |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-10T07:05:04Z |
| publishDate | 2023-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8239bb52f00b427d833391ff9c92ecbd2023-02-27T09:02:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-02-01112e481610.1097/GOX.0000000000004816202302000-00017A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip InvolvementBrody W. King, MD0Eric W. Anderson, MD1Jack D. Sudduth, MD, MS2Jessica L. Marquez, BA3Mitch Dunklebarger, MD4Lucia Collar-Yagas, MD5Barbu Gociman, MD, PhD6From the * Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.† Division of Plastic Surgery, University of Utah School of Medicine, SLC, Utah.† Division of Plastic Surgery, University of Utah School of Medicine, SLC, Utah.† Division of Plastic Surgery, University of Utah School of Medicine, SLC, Utah.‡ Division of Otolaryngology, University of Utah School of Medicine, SLC, Utah.† Division of Plastic Surgery, University of Utah School of Medicine, SLC, Utah.† Division of Plastic Surgery, University of Utah School of Medicine, SLC, Utah.Summary:. The management of large, deforming facial arteriovenous malformations (AVMs) can be a daunting clinical challenge for patients and surgeons. Many patients delay treatment due to fear of surgical intervention and concern for unfavorable cosmetic outcomes. Delaying treatment can lead to soft-tissue hypertrophy. Occasionally, facial AVMs can also present with lip involvement, necessitating surgical intervention. A major potential issue regarding AVMs managed with surgical excision is excessive bleeding due to the enlarged dermal vascular plexus. Here, we present a simple surgical technique used to manage deforming AVMs involving the lips. A 32-year-old man with Sturge-Weber syndrome and a 72-year-old man with AVMs of the left face presented to clinic for management. The malformations involved the lips in both patients. Both patients had constant drooling and difficulty eating and talking, in addition to aesthetic concerns. They both underwent surgical excision of the redundant tissue with minimal undermining, advancement flaps, and layered closure. Minimal undermining allowed successful removal of the AVMs and redundant tissue without excessive blood loss and allowed healing without complications. Both patients had significant improvement in eating and talking without drooling. Aesthetically, satisfactory outcomes were maintained at 1-year follow-up appointments. Removal of AVMs while minimizing blood loss can be a challenging endeavor. Here, we have presented a successful, effective technique for restoring both form and function in patients with AVMs involving the lips, with good long-term results.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004816 |
| spellingShingle | Brody W. King, MD Eric W. Anderson, MD Jack D. Sudduth, MD, MS Jessica L. Marquez, BA Mitch Dunklebarger, MD Lucia Collar-Yagas, MD Barbu Gociman, MD, PhD A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement Plastic and Reconstructive Surgery, Global Open |
| title | A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement |
| title_full | A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement |
| title_fullStr | A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement |
| title_full_unstemmed | A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement |
| title_short | A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement |
| title_sort | simple surgical solution for functional improvement of deforming vascular malformations with lip involvement |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004816 |
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