Resumo

LYNN, Patricio; TROUCHOT, Víctor; MONTESINOS, Manuel R  e  DEBONIS, Daniel L. Malformación arteriovenosa gigante facial del adulto: Resección y reconstrucción con colgajos libres. Rev. argent. cir. [online]. 2013, vol.105, n.1, pp.43-46. ISSN 2250-639X.

Background: Sympthomatic adult arteriovenous malformation (AVM) in the head and neck is an unfrequent and potential life threatening disorder. Objetive: To describe surgical management and outcome of two cases of surgically treated advanced cheek AVM. Setting: Third level universitary hospital. Design: Retrospective observational. Population: Two adult male patients with symptomatic AVM of the cheek. Method: Review of clinical records and pathological reports. Results: Both patients presented with great masses and had been previously treated with unsuccessful embolizations. They were Schobinger III stage. It was undertaken wide surgical resection and reconstruction with free flaps: antero lateral thigh flap in one case and fibular and anterolateral thigh flap in the other. Evolution was uneventful with acceptable cosmetic result. They are lesion free at 50 and 30 months of follow-up. Conclusions: Surgical treatment requires an experience and multidisciplinary team for extensive resection, aggressive blood and fluid reposition, and complex reconstruction with free flaps.

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