Article: [Treatment effects of sandwich-shaped resection and cheiloplasty applied in macrocheilia secondary to arteriovenous malformations].
2022 Volume 102, Issue 23, Page(s) 1771–1774
Abstract: To summarize the clinical experience of sandwich-shaped resection and cheiloplasty in the treatment of macrocheilia secondary to arteriovenous malformation, and to observe its clinical efficacy and complications. The clinical data of 27 patients with ... ...
| Abstract | To summarize the clinical experience of sandwich-shaped resection and cheiloplasty in the treatment of macrocheilia secondary to arteriovenous malformation, and to observe its clinical efficacy and complications. The clinical data of 27 patients with macrocheilia secondary to arteriovenous malformation who received surgical treatment from January 2018 to October 2020 in Linyi Cancer Hospital were retrospectively analyzed. There were 14 males and 13 females. The median age was 4.5 years (ranged from 2 to 57 years). There were 18 cases of upper lip and 9 cases of lower lip. All patients had received interventional embolization sclerotherapy for 5 to 10 times before surgery with unsatisfied effect. There was no obvious improvement in the appearance,whereas 3 cases progressed presenting as abnormal enlargement. Sandwich-shaped resection and cheiloplasty was performed in all the patients. Histopathological examinations confirmed arteriovenous malformations in all 27 cases. Twenty-six patients received one course of operation and one received two courses. Partial mucosal necrosis occurred in 1 case and healed after dressing change, while the rest healed by first intention. Local recurrence occurred in 2 cases within 6 months after operation. A four-level standard was used for long-term evaluation, and 24 cases got grade Ⅲ (good), three cases got grade Ⅱ (moderate) after 1 to 3 years of follow-up. Sandwich-shaped resection and cheiloplasty can achieve good long-term efficacy with excellent appearance and function. Due to its advantages of hidden incision and three-dimensional resection and reservation, it is worthy of further clinical promotion. |
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| MeSH term(s) | Adolescent ; Adult ; Arteriovenous Malformations/therapy ; Child ; Child, Preschool ; Embolization, Therapeutic/methods ; Female ; Humans ; Lip ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Young Adult |
| Language | Chinese |
| Publishing date | 2022-06-06 |
| Publishing country | China |
| Document type | Journal Article |
| ZDB-ID | 132513-9 |
| ISSN | 0376-2491 |
| ISSN | 0376-2491 |
| DOI | 10.3760/cma.j.cn112137-20211231-02940 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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