Zhou Jingwei, Hua Chen, Yang Xi, Jia Hechen, Yu Wenxin, Jin Yunbo, Lin Xiaoxi
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Department of Laser and Aesthetic Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Dermatol Surg. 2023 Nov 1;49(11):1017-1022. doi: 10.1097/DSS.0000000000003923. Epub 2023 Sep 4.
Cutaneous erythema is one of the most common signs of arteriovenous malformations (AVMs) in the head and neck region, influencing aesthetic appearance. Surgical resection of AVMs may lead to cicatrization of the skin or aggravation of the lesion. Laser treatment, although effective in improving superficial vascular lesions, cannot prevent deep AVMs from further development.
The authors propose an absolute ethanol embolization therapy that can effectively and safely eradicate the nidus with a favorable aesthetic outcome.
The authors conducted a retrospective observational study of 14 AVM patients with distinct cutaneous erythema in the head and neck region undergoing embolotherapy in a single primary care center. Symptoms before and after treatment, complications, and degree of devascularization were recorded and assessed. Changes in cutaneous redness were evaluated using a previously reported quantitative measurement.
Complete symptomatic relief was observed in 5 patients, and major improvement was observed in 9 patients. The mean Δ a * value of the color change had a significant reduction of 6.50 ± 4.04, p < .001, indicating a remarkable remission of cutaneous erythema.
Ethanol embolization is an effective and safe treatment for head and neck AVMs with excellent aesthetic outcomes and might become a potential treatment method for other superficial vascular anomalies.
皮肤红斑是头颈部动静脉畸形（AVM）最常见的体征之一，影响美观。AVM的手术切除可能导致皮肤瘢痕形成或病变加重。激光治疗虽然对改善浅表血管病变有效，但无法阻止深部AVM的进一步发展。
作者提出一种无水乙醇栓塞疗法，该疗法能有效、安全地根除病灶，并取得良好的美学效果。
作者在一个初级保健中心对14名头颈部有明显皮肤红斑的AVM患者进行了回顾性观察研究，这些患者接受了栓塞治疗。记录并评估治疗前后的症状、并发症和血管减少程度。使用先前报道的定量测量方法评估皮肤发红的变化。
5例患者症状完全缓解，9例患者有显著改善。颜色变化的平均Δa*值显著降低了6.50±4.04，p <.001，表明皮肤红斑明显减轻。
乙醇栓塞是治疗头颈部AVM的一种有效且安全的方法，具有出色的美学效果，可能成为治疗其他浅表血管异常的潜在治疗方法。
