Hatano Takaharu, Motomura Hisashi, Deguchi Ayaka, Fujikawa Heishiro, Maeda Shusaku
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Plast Reconstr Surg Glob Open. 2019 May 3;7(5):e2186. doi: 10.1097/GOX.0000000000002186. eCollection 2019 May.
The treatment for arterial venous malformation (AVM) of functionally and aesthetically important parts such as the hand is considered to be challenging. AVM existed in the right forearm and the thenar region of 55-year-old man. Combined method with free omentum flap and split-thickness skin flap was performed for hand reconstruction after radical excision of an AVM. The postoperative course was good. Seven years have passed postoperatively, and functional but aesthetical results are satisfying with no recurrence. Our operative procedure with complete resection of AVM with placement of the free omental flap to the resected area and placing back the original skin as a skin graft is considered to be an ideal curative surgical treatment of the AVM.
手部等功能和美观重要部位的动静脉畸形（AVM）治疗被认为具有挑战性。一名55岁男性的右前臂和鱼际区域存在AVM。在对AVM进行根治性切除后，采用游离大网膜瓣和中厚皮瓣联合方法进行手部重建。术后过程顺利。术后七年过去了，功能和美学效果令人满意，无复发。我们的手术方法是完全切除AVM，将游离大网膜瓣置于切除区域，并将原皮肤作为皮片回植，被认为是AVM理想的根治性手术治疗方法。
