Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation
Summary:. Due to the relative paucity of cases, there are no well-founded protocols for the management of large auricular arteriovenous malformations (AVMs) that are based on a significant number of cases. Recommendations in the literature generally separate resection of the malformation from a late...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005122 |
| _version_ | 1797770645767979008 |
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| author | Yasmina Samaha, BS Caitlin Pray, PA-C Kyohei Itamura, MD Natalia Chaves, MD, MPH John Reinisch, MD |
| author_facet | Yasmina Samaha, BS Caitlin Pray, PA-C Kyohei Itamura, MD Natalia Chaves, MD, MPH John Reinisch, MD |
| author_sort | Yasmina Samaha, BS |
| collection | DOAJ |
| description | Summary:. Due to the relative paucity of cases, there are no well-founded protocols for the management of large auricular arteriovenous malformations (AVMs) that are based on a significant number of cases. Recommendations in the literature generally separate resection of the malformation from a later reconstruction of the ear to allow for a period of disease-free status to minimize the risk of recurrence. This interval between resection and reconstruction can be cosmetically challenging for working adult patients. As auricular AVMs are often localized to the external ear, amputation is likely curative, and reconstruction should be considered at the time of resection. We present an adult male patient with a markedly enlarged left external ear secondary to a congenital AVM. The AVM was managed by auricular amputation without prior embolization. Immediate ear reconstruction was then performed using a porous polyethylene implant covered with an ipsilateral temporoparietal fascia flap. The flap was supplied by the superficial temporal artery. After 3 years, the patient has a cosmetically acceptable ear, with no signs of recurrence of the vascular malformation. |
| first_indexed | 2024-03-12T21:25:11Z |
| format | Article |
| id | doaj.art-f5bc2d18b6d74c268afc4a269ddea240 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T21:25:11Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-f5bc2d18b6d74c268afc4a269ddea2402023-07-28T09:29:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-07-01117e512210.1097/GOX.0000000000005122202307000-00039Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous MalformationYasmina Samaha, BS0Caitlin Pray, PA-C1Kyohei Itamura, MD2Natalia Chaves, MD, MPH3John Reinisch, MD4From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.† Craniofacial and Pediatric Plastic Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.‡ Department of Otolaryngology – Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.§ Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Mass.† Craniofacial and Pediatric Plastic Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.Summary:. Due to the relative paucity of cases, there are no well-founded protocols for the management of large auricular arteriovenous malformations (AVMs) that are based on a significant number of cases. Recommendations in the literature generally separate resection of the malformation from a later reconstruction of the ear to allow for a period of disease-free status to minimize the risk of recurrence. This interval between resection and reconstruction can be cosmetically challenging for working adult patients. As auricular AVMs are often localized to the external ear, amputation is likely curative, and reconstruction should be considered at the time of resection. We present an adult male patient with a markedly enlarged left external ear secondary to a congenital AVM. The AVM was managed by auricular amputation without prior embolization. Immediate ear reconstruction was then performed using a porous polyethylene implant covered with an ipsilateral temporoparietal fascia flap. The flap was supplied by the superficial temporal artery. After 3 years, the patient has a cosmetically acceptable ear, with no signs of recurrence of the vascular malformation.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005122 |
| spellingShingle | Yasmina Samaha, BS Caitlin Pray, PA-C Kyohei Itamura, MD Natalia Chaves, MD, MPH John Reinisch, MD Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation Plastic and Reconstructive Surgery, Global Open |
| title | Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation |
| title_full | Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation |
| title_fullStr | Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation |
| title_full_unstemmed | Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation |
| title_short | Amputation and Immediate Total Ear Reconstruction for a Large Arteriovenous Malformation |
| title_sort | amputation and immediate total ear reconstruction for a large arteriovenous malformation |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005122 |
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