Multidisciplinary approach to lethal bleeding from an arteriovenous malformation in the external auditory canal.
Arteriovenous malformations (AVMs) are composed of abnormally connecting feeding arteries as well as draining veins and lack a regulatory system. Frequent recurrences and unpredictable behavior are their main problems. Potential mortality and morbidity associated with therapeutic procedures must be considered with these patients. Improper treatment often aggravates the condition, potentially rendering therapy more complex. A multidisciplinary approach, including an endovascular approach, surgical excision, and flap reconstruction, is considered to completely eradicate an AVM. This study introduces a complicated case of AVM with massive bleeding through the external auditory canal that was treated with a multidisciplinary approach.
From the Departments of *Otorhinolaryngology-Head and Neck Surgery, †Plastic and Reconstructive Surgery, and ‡Neurosurgery, School of Medicine and Medical Research Institute, Pusan National University, Busan; and §Department of Plastic and Reconstructive Surgery, School of Medicine, Hanyang University, Seoul, Republic of Korea.
Yoon Se
YS
Lee
Eui-Kyung
EK
Goh
Su-Bong
SB
Nam
Seong Heon
SH
Cha
Youn Hwan
YH
Kim
Jeong Tae
JT
Kim
D000328:Adult; D001165:Arteriovenous Malformations / Q000601:surgery* / Q000628:therapy; D001804:Blood Transfusion, Autologous / Q000379:methods; D002342:Carotid Artery, External / Q000002:abnormalities; D004424:Ear Canal / Q000473:pathology*; D004427:Ear Diseases / Q000601:surgery* / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation; D006470:Hemorrhage / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities / Q000601:surgery; D008576:Meningeal Arteries / Q000601:surgery; D064827:Myocutaneous Flap / Q000637:transplantation; D010306:Parotid Gland / Q000098:blood supply*; D010347:Patient Care Planning; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods; D013699:Temporal Arteries / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods