Righi P D, Bade M A, Coleman J J, Allen M
Department of Otolaryngology and Head and Neck Surgery, Indiana University Medical Center, Indianapolis 46202, USA.
Microsurgery. 1996;17(12):706-9. doi: 10.1002/(SICI)1098-2752(1996)17:12<706::AID-MICR8>3.0.CO;2-K.
Arteriovenous malformations of the head and neck pose a challenging therapeutic and reconstructive problem. In this report we describe a rare case of an arteriovenous malformation of the base of tongue. The patient, a young adult female, was treated with embolization followed by surgical resection using a lateral pharyngotomy approach. Reconstruction of the extensive base of tongue defect was accomplished using a radial forearm free flap. Currently, the patient is decannulated, articulates clearly, tolerates a normal diet, and is without recurrence. Our treatment approach is discussed in detail and compared with alternative techniques.
头颈部动静脉畸形带来了具有挑战性的治疗和重建难题。在本报告中，我们描述了一例罕见的舌根动静脉畸形病例。患者为一名年轻成年女性，先接受了栓塞治疗，随后采用外侧咽切开术入路进行手术切除。使用游离桡侧前臂皮瓣完成了广泛的舌根缺损重建。目前，患者已拔除气管插管，发音清晰，能耐受正常饮食，且无复发。我们详细讨论了治疗方法并与其他技术进行了比较。
