Department of Plastic and Reconstructive Surgery, Center for Vascular Anomalies, Tonan Hospital, Kita 4, Nishi 7, Chuo-ku, Sapporo.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
J Craniofac Surg. 2021;32(5):e489-e490. doi: 10.1097/SCS.0000000000007446.
Auricular arteriovenous malformation (AVM) occasionally accompanies macrotia. Here, the authors report a case of AVM with macrotia that was treated with transcatheter arterial embolization, percutaneous sclerotherapy, and subsequent otoplasty following partial resection. A 46-year-old man presented with Schobinger stage III AVM. After transcatheter arterial embolization of the feeding arteries using n-butyl-2-cyanoacrylate, 9 sessions of sclerotherapy were performed using 3% polidocanol foam. Partial resection of the AVM nidus and subsequent otoplasty for ear reduction were performed at the age of 50 years. Two years later, the remnant nidus was resected and the protruding ear was surgically corrected. No recurrence was observed, and the enlarged ear was reduced at follow-up 6 months after the final operation.
耳廓动静脉畸形（AVM）偶尔伴有巨耳。作者报告了一例伴有巨耳的 AVM 病例，该病例采用经导管动脉栓塞、经皮硬化治疗，随后行部分切除后的耳成形术。一名 46 岁男性患有 Schobinger Ⅲ A 期 AVM。使用 n-丁基-2-氰基丙烯酸酯对供血动脉进行经导管动脉栓塞后，采用 3%聚多卡醇泡沫进行了 9 次硬化治疗。50 岁时，进行 AVM 病灶的部分切除和随后的耳成形术以减小耳朵。两年后，切除残余病灶，并通过手术矫正突出的耳朵。随访 6 个月后，在最后一次手术后未见复发，且增大的耳朵得到缩小。
