Surgical Resolution of Intramuscular Arteriovenous Malformation in the Back: Case and Systematic Review
Keywords:
Arteriovenous malformations, venous malformations, lymphatic malformations, head and neck, surgery, embolization, sclerotherapy, vascular anomalies.Abstract
Arteriovenous malformations (AVMs) and other vascular anomalies in the head and neck region present significant clinical challenges due to their complex nature and potential for severe functional and aesthetic consequences. Various treatment modalities, including surgery, embolization, and sclerotherapy, have been employed with varying degrees of success. To review and analyze the clinical outcomes and efficacy of different treatment approaches for arteriovenous malformations, venous malformations, and lymphatic malformations in the head and neck region. A comprehensive review of the literature was conducted, focusing on clinical studies that reported outcomes of surgical, embolization, and sclerotherapy treatments for vascular malformations in the head and neck. Relevant articles were identified, and data were extracted on patient demographics, treatment methods, and outcomes. The review included 10 studies encompassing different types of vascular malformations and treatment modalities. For arteriovenous malformations, surgical resection following embolization showed promising outcomes in reducing recurrence and improving functionality. Venous malformations treated with combined glue embolization and surgical excision also demonstrated effective results, with significant reduction in lesion size and symptoms In the management of lymphatic malformations, primary surgery was found to be more effective than primary sclerotherapy in achieving long-term control and reducing recurrence rates
Downloads
References
Fujiki M, Ozaki M, Iwashina Y, et al. Clinical outcomes and recipient vessel selection
for free flap transfer following arteriovenous malformation resection. J Plast Surg
Hand Surg. 2019;53:56-59. E-published ahead of print December 5, 2018.
Goldenberg DC, Hiraki PY, Caldas JG, Puglia P, Marques TM, Gemperli R. Surgical
treatment of extracranial arteriovenous malformations after multiple embolizations:
Outcomes in a series of 31 patients. Plast Reconstr Surg. 2015;135:543-552.
Hua C, Yang X, Jin Y, et al. Treatment of head and neck arteriovenous malformations
involving the facial nerve: A tailored algorithm. Ann Plast Surg. 2018;81(6S Suppl 1)
Kohout MP, Hansen M, Pribaz JJ, Mulliken JB. Arteriovenous malformations of the
head and neck: Natural history and management. Plast Reconstr Surg. 1998;102:643-
Kumar R, Sharma G, Sharma BS. Management of scalp arteriovenous malformation:
Case series and review of literature. Br J Neurosurg. 2012;26:371-377.
Lee BB, Do YS, Yakes W, Kim DI, Mattassi R, Hyon WS. Management of
arteriovenous malformations: A multidisciplinary approach. J Vasc Surg.
;39:590-600.
Seccia A, Salgarello M, Farallo E, Falappa PG. Combined radiological and surgical
treatment of arteriovenous malformations of the head and neck. Ann Plast Surg.
;43:359-366.
Visser A, FitzJohn T, Tan ST. Surgical management of arteriovenous malformations.
J Plast Reconstr Aesthet Surg. 2011;64:283-291.
Liu AS, Mulliken JB, Zurakowski D, Fishman SJ, Greene AK. Extracranial
arteriovenous malformations: Natural progression and recurrence after treatment.
Plast Reconstr Surg. 2010;125:1185-1194.
Al-Qattan MM. Acquired localized subcutaneous cavernous vascular malformations
of the hand. J Hand Surg Br. 2004;29:139-143.
Chewning RH, Monroe EJ, Lindberg A, et al. Combined glue embolization and
excision for the treatment of venous malformations. CVIR Endovasc. 2018;1:22.
Hontanilla B, Qiu SS, Marre D. Surgical management of large venous malformations
of the lower face. Br J Oral Maxillofac Surg. 2013;51:752-756.
Mendonca DA, McCafferty I, Nishikawa H, Lester R. Venous malformations of the
limbs: The Birmingham experience, comparisons and classification in children. J Plast
Reconstr Aesthet Surg. 2010;63:383-389.
Roh YN, Do YS, Park KB, et al. The results of surgical treatment for patients with
venous malformations. Ann Vasc Surg. 2012;26:665-673.
Steiner F, FitzJohn T, Tan ST. Surgical treatment for venous malformation. J Plast
Reconstr Aesthet Surg. 2013;66:1741-1749.
Park H, Kim JS, Park H, et al. Venous malformations of the head and neck: A
retrospective review of 82 cases. Arch Plast Surg. 2019;46:23-33.
Bajaj Y, Hewitt R, Ifeacho S, Hartley BE. Surgical excision as primary treatment
modality for extensive cervicofacial lymphatic malformations in children. Int J
Pediatr Otorhinolaryngol. 2011;75:673-677.
Balakrishnan K, Menezes MD, Chen BS, Magit AE, Perkins JA. Primary surgery vs
primary sclerotherapy for head and neck lymphatic malformations. JAMA
Otolaryngol Head Neck Surg. 2014;140:41-45.
Fageeh N, Manoukian J, Tewfik T, Schloss M, Williams HB, Gaskin D. Management
of head and neck lymphatic malformations in children. J Otolaryngol. 1997;26:253-258.
Jin L, Chen J, Li X. Surgical excision with bleomycin irrigation: A better primary
treatment choice for pediatric submandibular lymphatic malformations. J Oral
Maxillofac Surg. 2017;75:437.e1-437.e7.
Ma J, Biao R, Lou F, et al. Diagnosis and surgical treatment of cervical macrocystic
lymphatic malformations in infants. Exp Ther Med. 2017;14:1293-1298.
Schoinohoriti OK, Theologie-Lygidakis N, Tzerbos F, Iatrou I. Lymphatic
malformations in children and adolescents. J Craniofac Surg. 2012;23:1744-1747.
Theologie-Lygidakis N, Schoinohoriti OK, Tzerbos F, Iatrou I. Surgical management
of head and neck vascular anomalies in children: A retrospective analysis of 42
patients. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117
Wang S, Du J, Liu Y, et al. Clinical analysis of surgical treatment for head and neck
lymphatic malformations in children: A series of 128 cases. Acta Otolaryngol.
;139:713-719.
de Serres LM, Sie KC, Richardson MA. Lymphatic malformations of the head and
neck: A proposal for staging. Arch Otolaryngol Head Neck Surg. 1995;121:577-582.
Perkins JA, Manning SC, Tempero RM, et al. Lymphatic malformations: Review of
current treatment. Otolaryngol Head Neck Surg. 2010;142:795-803, 803.e1.
Balakrishnan K, Edwards TC, Perkins JA. Functional and symptom impacts of
pediatric head and neck lymphatic malformations: Developing a patient-derived
instrument. Otolaryngol Head Neck Surg. 2012;147:925-931.
Horbach SE, Rigter IM, Smitt JH, Reekers JA, Spuls PI, van der Horst CM. Intralesional bleomycin injections for vascular malformations: A systematic review and meta-analysis. Plast Reconstr Surg. 2016;137:244-256.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
