title: Surgical treatment following huge arteriovenous malformation extending from the lower lip to the chin: combination of embolization, total resection, and a double cross lip flap.
abstract: A huge arteriovenous malformation (AVM) extending from the lower lip to the chin was surgically resected and the area was reconstructed during the same surgery in three patients. To control hemorrhage during surgery, a radiologist performed embolization of major arteries in the lesion 2 or 3 days before the surgery. After total resection of the AVM, facial reconstruction was performed by using a double cross lip flap from the upper lip and a local skin flap from the lower jaw. As a result, bleeding was well controlled, the AVM was totally resected, and satisfactory functional and esthetic results were obtained.
authors.affiliation: Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine, Fukuoka, Japan. prsmf@med.kurume-u.ac.jp
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kiyokawa
authors.forename: Mikako
authors.initials: M
authors.lastname: Takagi
authors.forename: Junichi
authors.initials: J
authors.lastname: Fukushima
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kizuka
authors.forename: Yojiro
authors.initials: Y
authors.lastname: Inoue
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Tai
mesh_terms: D000328:Adult; D000368:Aged; D001165:Arteriovenous Malformations / Q000601:surgery*; D004621:Embolization, Therapeutic; D005145:Face / Q000098:blood supply* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011300:Preoperative Care; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps