大型头皮动静脉畸形切除术及美学头皮重建术
Excision of Large Scalp Arteriovenous Malformations with Aesthetic Scalp Reconstruction.
作者信息
Singh Anupama, Bhatnagar Ankur, Singh Vivek
机构信息
Department of Plastic Surgery, Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
Department of Radiodiagnosis Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
出版信息
World J Plast Surg. 2020 Sep;9(3):302-308. doi: 10.29252/wjps.9.3.302.
BACKGROUND
Scalp arteriovenous malformations (SAVMs) are seen in young individuals and skin involvement is common in large SAVMs. They are commonly seen in younger age group too. Pre-operative embolization followed by surgical excision and hair bearing scalp reconstruction with tissue expansion are the treatment of choice. Therefore, proper selection of tissue expander for reconstruction of hair bearing scalp, seems essential. This study evaluated excision of large SAVMs with aesthetic scalp reconstruction.
METHODS
We described management of 10 patients of large SAVMs with cutaneous involvement. All patients underwent pre-op embolization followed by surgical excision and hair bearing scalp reconstruction with tissue expansion.
RESULTS
All cases of large SAVMs healed well with minor complications.
CONCLUSION
While complete surgical excision with extirpation of the nidus is considered as the gold standard treatment, aesthetic hair bearing scalp restoration is also of paramount importance for the patient. This is done by using scalp tissue expansion after proper selection of the expander.
背景
头皮动静脉畸形（SAVM）多见于年轻人，在大型SAVM中皮肤受累很常见。它们也常见于较年轻的年龄组。术前栓塞，随后手术切除，并通过组织扩张进行有毛发头皮重建是首选治疗方法。因此，正确选择用于有毛发头皮重建的组织扩张器似乎至关重要。本研究评估了大型SAVM切除并进行美观的头皮重建。
方法
我们描述了10例有皮肤受累的大型SAVM患者的治疗情况。所有患者均接受术前栓塞，随后手术切除，并通过组织扩张进行有毛发头皮重建。
结果
所有大型SAVM病例均愈合良好，并发症轻微。
结论
虽然完整切除病灶的手术切除被认为是金标准治疗，但对患者来说，美观的有毛发头皮修复也至关重要。这通过在正确选择扩张器后使用头皮组织扩张来实现。
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