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上唇动静脉畸形的综合治疗

Comprehensive Treatment of Upper Lip Arteriovenous Malformation.

作者信息

Jafarian Mohammad, Dehghani Nima, Shams Shahin, Esmaeelinejad Mohammad, Aghdashi Farzad

机构信息

Department of Oral and Maxillofacial Surgery, Dentofacial Deformity Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Oral and Maxillofacial Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Maxillofac Oral Surg. 2016 Sep;15(3):394-399. doi: 10.1007/s12663-015-0836-8. Epub 2015 Sep 18.

Abstract

Arteriovenous malformations are uncommon congenital disorders in vascular development. They frequently involve craniofacial structures and result in a morphogenic abnormality with ominous arteriovenous shunting. We present a huge AVM of the upper lip in an 18-year-old patient who was successfully treated by the combination method of presurgical endovascular embolization and complete resection of the lesion. Subsequent surgical defect in upper lip, which involved more than two-third of the lip length, was reconstructed via Webster's modification of cheek advancement flap.

摘要

动静脉畸形是血管发育中罕见的先天性疾病。它们常累及颅面结构,并导致伴有严重动静脉分流的形态发生异常。我们报告了一名18岁患者的巨大上唇动静脉畸形,该患者通过术前血管内栓塞和病变完全切除的联合方法成功治疗。上唇随后的手术缺损累及唇长的三分之二以上,通过韦伯斯特改良的颊推进皮瓣进行修复。

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