[Surgical excision of giant venous angioma of the face under extracorporeal circulation: apropos of a case by a multidisciplinary team].
Because of the risk of haemorrhage related to their resection, deep angiomas of the face are often considered to be inaccessible to treatment. The use of cardiopulmonary bypass with profound hypothermia allows the surgeon to operate in a bloodless field, enabling almost oncological resection of the tumour. The authors report a case of venous angioma of the submaxillary region treated in this way after failure of limited surgery and embolisation. Complete resection of the lesion was achieved and the defect was repaired with a pectoralis major flap and a latissimus dorsi flap. The authors stress the value of a multidisciplinary approach: a cardiac surgeon for CPB, an ENT surgeon for resection and a plastic surgeon for reconstruction.
Legré
R
R
Service de Chirurgie Plastique, CHU Timone, bd J. Moulin, Marseille.
Courbier
R
R
Zanaret
M
M
Gras
R
R
Kreitman
B
B
D005112:Extracorporeal Circulation; D005153:Facial Neoplasms / Q000601:surgery*; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D013518:Surgery, Plastic
Exérèse chirurgicale d'un angiome veineux géant de la face sous circulation extra-corporelle: a propos d'un cas traité en équipe pluri-disciplinaire.