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A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement

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 hy...

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Autores principales: King, Brody W., Anderson, Eric W., Sudduth, Jack D., Marquez, Jessica L., Dunklebarger, Mitch, Collar-Yagas, Lucia, Gociman, Barbu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937089/
https://www.ncbi.nlm.nih.gov/pubmed/36817280
http://dx.doi.org/10.1097/GOX.0000000000004816
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author King, Brody W.
Anderson, Eric W.
Sudduth, Jack D.
Marquez, Jessica L.
Dunklebarger, Mitch
Collar-Yagas, Lucia
Gociman, Barbu
author_facet King, Brody W.
Anderson, Eric W.
Sudduth, Jack D.
Marquez, Jessica L.
Dunklebarger, Mitch
Collar-Yagas, Lucia
Gociman, Barbu
author_sort King, Brody W.
collection PubMed
description 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.
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spelling pubmed-99370892023-02-18 A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement King, Brody W. Anderson, Eric W. Sudduth, Jack D. Marquez, Jessica L. Dunklebarger, Mitch Collar-Yagas, Lucia Gociman, Barbu Plast Reconstr Surg Glob Open Craniofacial/Pediatric 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. Lippincott Williams & Wilkins 2023-02-17 /pmc/articles/PMC9937089/ /pubmed/36817280 http://dx.doi.org/10.1097/GOX.0000000000004816 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Craniofacial/Pediatric
King, Brody W.
Anderson, Eric W.
Sudduth, Jack D.
Marquez, Jessica L.
Dunklebarger, Mitch
Collar-Yagas, Lucia
Gociman, Barbu
A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement
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
topic Craniofacial/Pediatric
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937089/
https://www.ncbi.nlm.nih.gov/pubmed/36817280
http://dx.doi.org/10.1097/GOX.0000000000004816
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