8. Arteriovenous malformations of the scalp: treatment outcome and experience
Main Article Content
Abstract
Arteriovenous malformations of the scalp are rare vascular malformations but constitute a high proportion in arteriovenous malformations of the head and neck. We retrospectively assessed the outcome after treatment of scalp arteriovenous malformations by thePlastic and Maxillofacial Surgery Department at Viet Duc university hospital between January 2009 and December 2018. Patients were treated by embolization and resection. This study includes 16 patients, with a mean age of 27.8 years old. In 14 cases, (45.1%), there was contiguous involvement of more than one anatomical location. After 51.2 months of follow-up, 75% of patients had an excellent outcome, 12.5% had good result, 6.25% had fair and 6.25% had poor result. The small lesions have the highest rate of successful treatment. The large and diffuse lesions, especially those with connection with the intracranial vessels are big challenges to manage and require collaboration between the plastic- maxillofacial team and the neurosurgical team.
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Keywords
Scalp arteriovenous malformation, scalp AVMs, vascular malformation
References
2. Kumar R Sharma S, Sharma BS. Management of scalp arterio-venous malformation: case series and review of literature. Br J Neurosurg. 2012;26(3),371-377.
3. Uller W, Alomari AI, Richter GT: Arteriovenous malformation. Semin Pediatr Surg. 2014;23(4):203-207.
4. Kohout MP, Hansen M, Pribaz JJ, et al. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg. 1998;102:643-654.
5. Chowdhury FH, Haque MR, Kawsar KA, et al. Surgical management of scalp arterio-venous malformation and scalp venous malformation: An experience of eleven cases. Indian J Plast Surg. 2013;46:98-107.
6. Wu JK, Bisdorff A, Gelbert F, et al. Auricular arteriovenous malformation: evaluation, management, and outcome. Plast Reconstr Surg. 2005;115:985-995.
7. Karsy M, Raheja1 A, Guan J, et al. Scalp arteriovenous malformation with concomitant, flow-dependent malformation and aneurysm. World Neurosurg. 2016;708:e5-e9.
8. Matsushige T, Kiya K, Satoh H, et al. Arteriovenous malformation of scalp: Case report and review of the literature. Surg Neurol. 2004;62:253-259
9. Gupta R, Kayal A. Scalp arteriovenous malformations in young. J Pediatr Neurosci 2014;9:263-266.
10. Karki M., Roka YB. Surgical excision of cirsoid aneurysm of the scalp: Case series and review of the literature. World Neurosurg. 2021. doi: 10.1016/j.wneu.2021.08.102.
11. Rajput DU, Vishwakumar CS. Compartmentalisation: A method of managing a large AVM of the scalp. JPRAS Open. 2017;15:56-60.