RESUMO
ABSTRACT: Oral-facial-digital syndromes (OFDSs) represent a heterogenous group of embryonic development disorders characterized by malformations of the face, oral cavity, and extremities. Oral-facial-digital syndrome type II is an autosomal recessive disease characterized by median cleft lip, gingival frenula, cleft lobulated tongue, and polydactyly. There are few reports on surgical techniques for correction of incomplete median cleft lip. Here we describe a novel surgical method that we used to correct an incomplete median cleft lip in a 5-year-old girl with oral-facial-digital syndrome type II. She had previously undergone surgery for congenital heart disease, oral anomalies, and polydactyly. Cheiloplasty was performed at 5âyears and 8âmonths using a surgical approach that focused on repair of the median tubercle using lateral labial elements. A reasonably good Cupid's bow and median tubercle were achieved. Our technique for surgical correction of moderate incomplete median cleft lip provides adequate philtral height, vermillion fullness, and a good-shaped Cupid's bow.
Assuntos
Fenda Labial , Síndromes Orofaciodigitais , Procedimentos de Cirurgia Plástica , Pré-Escolar , Fenda Labial/cirurgia , Feminino , Humanos , Mucosa Bucal , Síndromes Orofaciodigitais/cirurgia , PeleRESUMO
ABSTRACT: Auricular arteriovenous malformation (AVM) occasionally accompanies macrotia. Here, the authors report a case of AVM with macrotia that was treated with transcatheter arterial embolization, percutaneous sclerotherapy, and subsequent otoplasty following partial resection. A 46-year-old man presented with Schobinger stage III AVM. After transcatheter arterial embolization of the feeding arteries using n-butyl-2-cyanoacrylate, 9 sessions of sclerotherapy were performed using 3% polidocanol foam. Partial resection of the AVM nidus and subsequent otoplasty for ear reduction were performed at the age of 50 years. Two years later, the remnant nidus was resected and the protruding ear was surgically corrected. No recurrence was observed, and the enlarged ear was reduced at follow-up 6 months after the final operation.
Assuntos
Malformações Arteriovenosas , Embolização Terapêutica , Embucrilato , Malformações Arteriovenosas Intracranianas , Malformações Arteriovenosas/diagnóstico por imagem , Malformações Arteriovenosas/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Polidocanol , EscleroterapiaRESUMO
Infantile hemangiomas arising in the palate are rare. The authors describe a case of ulcerated infantile hemangioma of the hard palate with feeding difficulty. To our knowledge, this is the first reported case of immunohistochemically diagnosed palatal infantile hemangioma successfully treated using oral propranolol.
Assuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Hemangioma Capilar/tratamento farmacológico , Palato Duro , Propranolol/uso terapêutico , Neoplasias Cranianas/tratamento farmacológico , Administração Oral , Feminino , Humanos , LactenteAssuntos
Carcinoma de Células Escamosas/diagnóstico , Procedimentos Cirúrgicos de Citorredução/efeitos adversos , Síndrome de Klippel-Trenaunay-Weber/complicações , Úlcera da Perna/patologia , Linfedema/cirurgia , Transplante de Pele/efeitos adversos , Adolescente , Adulto , Biópsia , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Criança , Pré-Escolar , Tratamento Conservador , Progressão da Doença , Seguimentos , Humanos , Lactente , Síndrome de Klippel-Trenaunay-Weber/diagnóstico , Úlcera da Perna/etiologia , Úlcera da Perna/terapia , Linfedema/etiologia , Masculino , Pele/patologia , Resultado do Tratamento , Adulto JovemRESUMO
Patients with arteriovenous malformations (AVMs) are at risk of significant hemorrhage and AVMs are especially difficult to manage in those desiring future pregnancy. Few patients with successful deliveries have been previously reported.The authors report an unusual case of AVM of the tongue in a pregnant woman who presented with massive pulsatile bleeding from a ruptured artery in the tongue in late gestation, this was thought to be caused by the changes in hormonal balance and the increase in cardiac output. The bleeding was controlled with transarterial embolization and transmucosal absolute ethanol sclerotherapy. Furthermore, her second and third deliveries were successfully managed.The authors managed symptomatic tongue AVM by combining transarterial embolization and transmucosal sclerotherapy, which was followed by successful deliveries. This patient supports the utility of transmucosal absolute ethanol sclerotherapy for tongue AVM and multidisciplinary medical care for a successful delivery.
Assuntos
Malformações Arteriovenosas/terapia , Embolização Terapêutica , Complicações Cardiovasculares na Gravidez/terapia , Escleroterapia , Língua , Procedimentos Cirúrgicos Vasculares , Adulto , Feminino , Humanos , Gravidez , Língua/anormalidades , Língua/irrigação sanguíneaRESUMO
Vascular malformations of bone are complex lesions that can cause deformity and pain. A combined soft tissue and intraosseous venous malformation of the left thumb in a girl was treated with two sessions of ethanol sclerotherapy using a bone marrow aspiration needle under fluoroscopic guidance.