Management of extensive intraparotid vascular malformation: a case report

Abstract

Treatment of large soft tissue vascular lesions remains one of the greatest challenges in modern plastic surgery. The extent of the disease and the involved structures, but also the expectations of the patients are important in determining the way of treatment. The effective management of hemangiomas and vascular malformations of the head and neck requires a team approach, in order to understand the biologic behavior of the lesion, complete the diagnostic studies necessary to define the area of involvement, and understand the benefits and limitations of interventional radiologic and surgical procedures. The synthesis of this knowledge can help determine the best treatment. The strategic plan and subsequent management of a 34-year-old Maori man with an extensive arteriovenous intraparotid malformation is presented.

Keywords

Embolization / hemangiomas and vascular malformations / intraparotid malformation / vascular lesions

References

[1] Eivazi B.Venous and arteriovenous malformations in the head and neck region. Therapeutic options and challenges..HNO2014;62:19-24

[2] Mulliken JB.Hemangiomas and vascular malformations in infants and children: A classification based on endothelial characteristics..Plast Reconstr Surg1982;69:412-22

[3] Burns AJ,Cooner RD.Classification on of vascular anomalies and the comprehensive treatment of hemangiomas..Plast Reconstr Surg2009;124:69e-81

[4] Guglielmi G,Sepetka I.Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results..J Neurosurg1991;75:1-7

[5] Guglielmi G,Dion J.Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience..J Neurosurg1991;75:8-14

[6] Niimi Y,Berenstein A.Current endovascular management of maxillofacial vascular malformations..Neuroimaging Clin N Am2007;17:223-37

[7] Brooks BL.Discussion: Noland and Taylor..Trans South Surg Assoc1931;43:176

[8] Edgerton MT.The treatment of hemangiomas:With special reference to the role of steroid therapy..Ann Surg1976;183:517-32 PMCID:PMC1344338

[9] Konas E,Cil B,Karabulut E,Kayikcioglu A.Volumetric assessment of results of treatment of vascular malformations of the head and neck regions treated with a minimally invasive surgical technique after embolization procedure..J Craniofac Surg2009;20:402-5

[10] Dmytriw AA,Krings T.Endovascular treatment of head and neck arteriovenous malformations..Neuroradiology2014;56:227-36

[11] Yadav P,Waner M,Fay A.Vascular anomalies of the head and neck: A review of genetics..Semin Ophthalmol2013;28:257-66