scholarly journals Island Abdominal Skin Flap For Reconstruction Post Excision Defect Of Arterio-Venous Malformation In Labia Majora: A Case Report

2020 ◽  
Vol 6 (1) ◽  
pp. 254-257
Author(s):  
Jenny Indah Haryani ◽  
Ahmad Fawzy Mas’ud
Keyword(s):  
Case Report ◽  
Primary Closure ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Skin Flap ◽  
Surgical Excision ◽  
Reconstruction Procedure ◽  
Labia Majora ◽  
Good Cosmetic ◽  
One Year

Background : Arterio-venous malformations (AVMs) defined as high-flow vascular malformations of dysmorphic arterial and venous vessels. And connected directly to one another without an intervening capillary bed. The incidence is higher in females than male (3-5:1). Globally, there are only 5 cases of genital hemangiomas reported. Various treatment has been investigated, a recent topical treatment is the application of timolol. It has minimal adverse effects, easy administration, and good cosmetic outcomes. However, the effectiveness of timolol in vulvar cases remains unclear. Case Report : A one-year-old girl was brought by her mother with complaint of a lump in her child's genitals. The lump was appeared during the early days of her life and it was getting bigger gradually. A plastic surgeon performed excision and reconstruction procedure using the island abdominal flap technique. Discussion : Preserving vaginal function and perineal integrity is quite challenging, and cosmesis correspondingly less important. The patient underwent surgical excision and primary closure procedure in the labia majora region, followed with abdominal flap tunneled through the mons pubis. Conclusion: Surgical excision and primary closure are the most recommended procedure for overcoming genital lesion. A reconstruction using flap following the procedure resulted in a normal contour and well functioned genital.

Congenital Vascular Malformations: General Treatment Principles

2007 ◽  
Vol 22 (6) ◽  
pp. 258-263 ◽  
Author(s):  
B B Lee ◽  
J Laredo ◽  
Y W Kim ◽  
R Neville
Keyword(s):  
Surgical Therapy ◽  
Endovascular Therapy ◽  
Multidisciplinary Approach ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Standard Of Care ◽  
Surgical Excision ◽  
General Treatment ◽  
Embolization Therapy ◽  
Treatment Principles

The era where surgical excision alone was the sole treatment of venous malformation (VM) is now over. A multidisciplinary approach that utilizes both traditional surgical therapy and endovascular therapy is now the standard of care. Endovascular therapy utilizing primarily both embolization therapy and sclerotherapy is the treatment of choice for surgically ‘inaccessible' VM lesions. Surgical therapy of VM lesions has been shown to be more effective when combined with supplemental endovascular therapy.

scholarly journals Primary Retroperitoneal Paraganglioma Simulating a Pancreatic Mass: A Case Report and Review of the Literature

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Guillermo Sangster ◽  
Daniel Do ◽  
Carlos Previgliano ◽  
Benjamin Li ◽  
Delecia LaFrance ◽  
...  
Keyword(s):  
Case Report ◽  
Vascular Malformations ◽  
Frozen Section ◽  
Abdominal Cavity ◽  
Pancreatic Head ◽  
Surgical Excision ◽  
Good Prognosis ◽  
Adrenal Tumors ◽  
Palpable Mass ◽  
Primary Retroperitoneal

Paragangliomas are extra-adrenal tumors of the autonomic nervous system and may be found within the skull base, neck, chest, and abdomen. When presenting within the abdominal cavity, they may arise as a primary retroperitoneal neoplasm and can mimic vascular malformations or other conditions related to specific retroperitoneal organs such as the pancreas, kidneys, or adrenals. Retroperitoneal paragangliomas are mostly benign with good prognosis; however, they can present with abdominal pain, palpable mass, or hypertensive episodes. Patients should be initially evaluated with catecholamine levels, followed by computed tomography or magnetic resonance imaging to locate the primary lesion. Surgical excision remains the mainstay of treatment, although advanced disease and proximity to vital organs can make excision difficult or impossible. This case report describes a patient who initially underwent work up for a suspected pancreatic head mass which was discovered to be a retroperitoneal paraganglioma by frozen section.

scholarly journals The First Stage of Acquired Syndactyly Reconstruction - A Rare Case Report

2022 ◽  
Vol 12 (1) ◽  
pp. 87-91
Author(s):  
Lucretya Yeniwati Tanuwijaya ◽  
Agus Roy Rusly Hariantana Hamid ◽  
I Gusti Putu Hendra Sanjaya
Keyword(s):  
Case Report ◽  
Skin Graft ◽  
Skin Flap ◽  
Donor Site ◽  
Surgical Techniques ◽  
Operation Time ◽  
Donor Site Morbidity ◽  
Reconstruction Procedure ◽  
Local Skin ◽  
And Function

Background: Acquired syndactyly is a very rare disorder on the interdigital area. Syndactyly with only soft tissue involvement can be a sequela of trauma, such as burn, inflammation or infection in the interdigital area, resulting in bony fusion following crush injury. Case Report: An 8-year-old boy came to our department with fusion from the base to the tip of the first to fourth right toes since the accidental step on burnt plastic 5 years ago. He complained of a poor appearance and discomfort when walking. Then we performed zigzag incision for first to second toes and third to fourth toes. Skin graft closure was performed to cover the defect on third to fourth toes. The second reconstruction surgery will be scheduled 6 months later. Discussion: The surgical techniques for foot syndactyly were derived from those for hand syndactyly, which are to separate the digital fusion by creating local skin flap. Additionally, skin graft might be necessary when recent surgeons avoid the use of skin graft for open treatment, primary closure by defatting, or intricate local flaps. These can shorten the operation time and minimize donor site morbidity. However, surgeons should consider the free tension closure of the wound by combining the skin graft after the flap. Conclusion: Reconstruction procedure for foot syndactyly aims to improve the appearance and function of the toes as well as to avoid progressive deformity through development. The skin graft addition in combination of skin flap shows promising outcome. Key words: acquired syndactyly, syndactyly reconstruction, zigzag flap, skin graft.

Intraoral Venous Malformation-A Case report

2021 ◽  
pp. 80-82
Author(s):  
B.V Subhash ◽  
Alba Dinesh ◽  
Seema Patil ◽  
Asha R Iyengar ◽  
Revan Kumar Joshi ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Vascular Anomalies ◽  
Venous Malformations ◽  
Wide Spread ◽  
Facial Area ◽  
Ct And Mri

The vascular anomalies consist of vascular tumours and vascular malformations. One among these are the venous malformations which constitute about 40% of all vascular malformations. Usually, the venous malformations present as localized lesions in the form of swellings/nodules with phleboliths, are diagnosed by ultrasonography, CT and MRI. Summary: This is a report of a rare longstanding case of wide spread venous malformations of oral cavity and facial area with phleboliths.

Treatment of pregnancy-associated oral pyogenic granuloma with life-threatening haemorrhage by transarterial embolisation

2015 ◽  
Vol 129 (6) ◽  
pp. 607-610 ◽  
Author(s):  
K-Y Tsai ◽  
W-H Wang ◽  
G-H Chang ◽  
Y H Tsai
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Severe Bleeding ◽  
Transarterial Embolisation ◽  
Wound Pain ◽  
Life Threatening ◽  
One Year

AbstractBackground:Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.Case report:We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.Conclusion:In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.

scholarly journals Synlabia after Severe Monilia Infections: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Samia M. A. Saied
Keyword(s):  
Case Report ◽  
Complete Recovery ◽  
Cosmetic Outcome ◽  
Rapid Recovery ◽  
Urine Retention ◽  
Good Cosmetic Outcome ◽  
Labia Majora ◽  
Acute Urine Retention ◽  
Good Healing ◽  
Good Cosmetic

Case. A 25-year-old woman presented with acute urine retention with overflow 6 months after an inadequate treatment of severe monilia infections. Examination revealed complete adhesion between both labia majora. Division of adhesion was done with reconstruction by labial mucocutaneous flap. Complete recovery was achieved with good cosmetic outcome.Conclusion. Labial adhesions whatever their severity is can be surgically divided with complete correction by locally designed flap to reconstruct the introuitus with rapid recovery, good healing, and good cosmetic outcome.

The Use of Cryotherapy to Treat Infantile Digital Fibromatosis with a Functional Deficit: A Case Report

2018 ◽  
Vol 23 (02) ◽  
pp. 278-281 ◽  
Author(s):  
Aviv Kramer ◽  
Yaron Har-Shai ◽  
Isa Metanes ◽  
Hani Harel ◽  
Ronit Wollstein
Keyword(s):  
Case Report ◽  
Occupational Therapy ◽  
Recurrence Rate ◽  
Benign Lesion ◽  
Excellent Result ◽  
Surgical Excision ◽  
Therapeutic Modality ◽  
High Recurrence Rate ◽  
Functional Deficit ◽  
One Year

Infantile Digital Fibromatosis (IDF) is a rare benign lesion that can affect the fingers, often appearing at birth or early on in life. Treatment is controversial due to a high recurrence rate following surgical excision, and the tendency of the lesions to regress or resolve completely after the age of one year. Functional loss has rarely been described. We describe a case of IDF with joint contracture and significant functional deficit that was treated with cryotherapy and post procedural occupational therapy with an excellent result. Indications for treatment and cryotherapy as a therapeutic modality for IDF are discussed.

scholarly journals Use of Preexpanded Forehead and Neck Skin in Case of Giant Facial Hairy Naevus: Planning and Technique

2020 ◽  
Author(s):  
Mukesh Kumar Sharma ◽  
Naveen Kumar ◽  
V. Suman Babu ◽  
Vinay Kumar Tiwari
Keyword(s):  
Case Report ◽  
Tissue Expansion ◽  
Surgical Excision ◽  
Tissue Expanders ◽  
Pigmented Lesion ◽  
Complete Surgical Excision ◽  
Good Cosmetic ◽  
The Right ◽  
Staged Reconstruction

AbstractA congenital nevi is a pigmented patch which requires complete surgical excision for cosmetic reasons. Here, we report a case of a patient with facial hairy pigmented lesion, occupying the right half of her face since birth, who underwent complete surgical excision and staged reconstruction utilizing, preexpanded forehead and neck skin. We used two rectangular tissue expanders with 150 and 300 cubic cm of volumes inserted in the forehead and the neck, respectively. The length of the expanders selected were equal to 1.2 to 1.5 times the length of their respective lesions, whereas the width of the base of the expanders were approximately similar to the width of their defects. It is concluded with this case report that tissue expansion provides a good cosmetic and anatomical correction to cover large defects, with adjacent skin having similar properties.

scholarly journals Congenital Nasal Chondromesenchymal Hamartoma

2009 ◽  
Vol 24 (2) ◽  
pp. 23-26
Author(s):  
Ruth S. Estimar ◽  
Mario Adrian M. Zafra ◽  
Ramon Antonio B. Lopa
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Malignant Tumor ◽  
Clinical Picture ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Histopathologic Diagnosis ◽  
Design Case ◽  
One Year ◽  
Nasal Chondromesenchymal Hamartoma

Objectives: To report the case of a congenital nasal chondromesenchymal hamartoma in a one-year-old female and review the literature, identifying problems encountered in confirming the diagnosis and in treatment of this patient. Methods: Design: Case Report  Setting: Tertiary Public General Hospital Patient: One Results: A one-year-old female with an intranasal mass noted at birth and with subsequent unilateral maxillary enlargement is described. Computed tomography showed calcifications and erosion of adjacent bony structures. Histopathology and immunohistochemistry of an intranasal biopsy were interpreted as chordoma, a malignant tumor. Following surgical excision, the final histopathologic diagnosis was chondroid hamartoma. Conclusion: Only 20 cases of nasal chondromesenchymal hamartoma have been reported in the literature worldwide. These tumors may present clinically, histopathologicaly and radiologically as malignant tumors and may mislead even the experts. The whole clinical picture should be taken together to avoid misdiagnosis as a malignancy and to facilitate appropriate management.  Keywords: nasal chondromesenchymal hamartoma, nasal masses in infancy, nasal chondroid lesions

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