Use of a regulating flap in the treatment of a large arteriovenous malformation of the scalp
| Autor: | M.T. Barrellier, Daniel Labbé, Anne Dompmartin, Jacques Theron |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Free flap Surgical Flaps Arteriovenous Malformations Afferent medicine Humans Muscle Skeletal Scalp Vascular disease business.industry Latissimus dorsi muscle Arteriovenous malformation medicine.disease Tissue transfer Surgery Radiography medicine.anatomical_structure Otorhinolaryngology business Follow-Up Studies |
| Zdroj: | British journal of plastic surgery. 51(7) |
| ISSN: | 0007-1226 |
| Popis: | A patient presented with a large arteriovenous malformation (AVM) of the scalp. Afferent arterial embolisation followed by repeated surgical partial excision did not prevent recurrence and haemorrhage. The malformation was controlled with a latissimus dorsi muscle free flap which was positioned on the malformation. Five years later, haemorrhages did not recur and the nidus has disappeared on the angiogram. The positioning of a well-vascularised free tissue transfer provided long-term palliation and the authors believe that this flap acted as a 'regulating flap'. As repeated surgery of these large AVMs always leads to rapid recurrences, the authors recommend treating large AVMs directly with a regulating flap when total excision is not possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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