Komala Abhishek Reddy, Ashish Kumar Gupta, Jonathan Victor
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Ear arteriovenous malformation: an algorithm for management.
Introduction: Ear arteriovenous malformation is a complex problem with a lack of data and a clear consensus on its management. This paper aims to develop an algorithm for protocol-based ear arteriovenous malformation management.
Method: All patients underwent pre-operative discussions at a multi-disciplinary team meeting to plan excision and pre-operative embolisation.
Results: Nineteen patients were included in this study. Following excision, 26.3 per cent of cases had flap cover, 10.5 per cent needed a skin graft, 15.3 per cent had total amputation of the ear, and the rest underwent excision of the arteriovenous malformation with or without cartilage excision and primary closure. Recurrence was observed in 10.5 per cent of cases.
Conclusion: Surgical excision is the treatment of choice for ear arteriovenous malformations. Cartilage should be preserved whenever possible. The wound cover should be either a primary closure or a flap cover. A protocol-based guide facilitates decision-making of this complex problem.
期刊介绍：
The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.
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