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2006, Number 2

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Cir Plast 2006; 16 (2)

Surgical treatment of a cervicofacial vascular malformation with expansors. A case report

Ricaño RR, Vázquez PF, González ÁC, Gutiérrez OP, Ricaño RR
Full text How to cite this article

Language: Spanish
References: 7
Page: 103-108
PDF size: 204.58 Kb.


Key words:

Vascular malformation, expander.

ABSTRACT

This report deals with a 39-year-old female with a left cervicofacial malformation. The natural history, the clinical aspect and the contribution of the magnetic resonance and arteriography pointed to the diagnosis of a compound lesion, mainly capillary and venous, of low output and resectable. The surgical plan consisted of: A) Selection of two expanders: the bigger of 775 mL longitudinally curved and the smaller rectangular of 50 mL. B) Location: the bigger was located very near the inferior edge of the lesion, at the level of the base of the left hemineck, transversally to the biggest axis of the thorax. The smaller located at the level of the left cheek, very near the superior edge of the lesion. C) Expansion process: it was done twice weekly for 90 days. D) Delay: this was scheduled, at the 75th day. The incision was made very close to the inferior edge of the lesion. E) Resection and reconstruction. The aim of this work is to show that the use of expanders, although there are faster and direct reconstructive methods, has a prevailing place, given the favorable functional and aesthetic results.


REFERENCES

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  2. Amstrong DC, Brugge K. Selected interventional procedures for pediatric head and neck vascular lesions. Neuroimaging Clin N Am 2000; 10(1): 271-92.

  3. Van Rappard JHA, Molenaar J, van Doorn K et al. Surface area increase in tissue expansion. Plast Reconst Surg 1988; 82: 833-9.

  4. Duits EHA, Molenaar J, van Rappard JHA. The modeling of skin expanders. Plast Reconstr Surg 1989; 83: 362-7.

  5. Marler JJ, Mulliken JB. Current management of hemangiomas and vascular malformations. Clin Plast Surg 2005; 32: 99-116.

  6. Finn MC, Glowacki J, Mulliken JB. Congenital vascular lesions. Clinical application of a new classification. J Ped Surg 1983; 18: 894-900.

  7. Paltiel HJ, Burrows PE, Kozakewich HP et al. Soft tissue vascular anomalies: utility of US for diagnosis. Radiology 2000; 214(3): 747-54.




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Cir Plast. 2006;16