Use of immediate dermal fat graft for scalp contour defect following resection of arteriovenous malformation

Tarik M. Husain, Danon E. Garrido, Ali Aziz-Sultan, Jennifer C. Tang, Christopher Salgado

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Arterial venous malformations (AVMs) are rare conditions that are difficult to manage. Therapeutic options include selective embolization with or without surgical excision. Recurrence, however, is high despite correction of the primary abnormality. Cosmetic concern is among the indications for treatment, particularly if the AVM occurs on the face or scalp. Historically, AVM excision and the residual defect correction have been performed separately. We present the first case reported of a successful embolization and interval excision with immediate reconstruction using a dermal fat graft, as a novel approach to correct soft tissue defect following the resection of an AVM. A 35-year-old man presented with a 20-year history of a nonpulsating mass posterior to the hairline in the right frontoparietal region, measuring 4.0 cm on its longest axis. Embolization of the AVM was achieved by injecting N-butyl cyanoacrylic acid and ethiodol. One month after embolization, surgical excision of the mass was performed. The resulting disfiguring contour defect was immediately corrected using a dermal fat graft harvested from the groin. At 4 months' follow-up, the graft was viable with no evidence of resorption or epidermal cyst formation. In addition, there was no recurrence of the AVM and no complications at the donor site. This case demonstrates the utility of a dermal fat grafts in correcting the impending defect in 1 stage avoiding a second-stage procedure and significant period of cosmetic disfigurement. This method should be considered as a treatment option for patients requiring moderately sized AVM excisions in cosmetically sensitive areas.

Original languageEnglish
JournalJournal of Craniofacial Surgery
Volume23
Issue number5
DOIs
StatePublished - Sep 1 2012

Fingerprint

Arteriovenous Malformations
Scalp
Fats
Transplants
Skin
Cosmetics
Ethiodized Oil
Recurrence
Epidermal Cyst
Groin
Therapeutics
Tissue Donors
Acids

Keywords

  • Arteriovenous malformation
  • AVM
  • Dermal fat graft
  • Scalp

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Use of immediate dermal fat graft for scalp contour defect following resection of arteriovenous malformation. / Husain, Tarik M.; Garrido, Danon E.; Aziz-Sultan, Ali; Tang, Jennifer C.; Salgado, Christopher.

In: Journal of Craniofacial Surgery, Vol. 23, No. 5, 01.09.2012.

Research output: Contribution to journalArticle

Husain, Tarik M. ; Garrido, Danon E. ; Aziz-Sultan, Ali ; Tang, Jennifer C. ; Salgado, Christopher. / Use of immediate dermal fat graft for scalp contour defect following resection of arteriovenous malformation. In: Journal of Craniofacial Surgery. 2012 ; Vol. 23, No. 5.
@article{410a88f2f2434a229f7dce6056647e4e,
title = "Use of immediate dermal fat graft for scalp contour defect following resection of arteriovenous malformation",
abstract = "Arterial venous malformations (AVMs) are rare conditions that are difficult to manage. Therapeutic options include selective embolization with or without surgical excision. Recurrence, however, is high despite correction of the primary abnormality. Cosmetic concern is among the indications for treatment, particularly if the AVM occurs on the face or scalp. Historically, AVM excision and the residual defect correction have been performed separately. We present the first case reported of a successful embolization and interval excision with immediate reconstruction using a dermal fat graft, as a novel approach to correct soft tissue defect following the resection of an AVM. A 35-year-old man presented with a 20-year history of a nonpulsating mass posterior to the hairline in the right frontoparietal region, measuring 4.0 cm on its longest axis. Embolization of the AVM was achieved by injecting N-butyl cyanoacrylic acid and ethiodol. One month after embolization, surgical excision of the mass was performed. The resulting disfiguring contour defect was immediately corrected using a dermal fat graft harvested from the groin. At 4 months' follow-up, the graft was viable with no evidence of resorption or epidermal cyst formation. In addition, there was no recurrence of the AVM and no complications at the donor site. This case demonstrates the utility of a dermal fat grafts in correcting the impending defect in 1 stage avoiding a second-stage procedure and significant period of cosmetic disfigurement. This method should be considered as a treatment option for patients requiring moderately sized AVM excisions in cosmetically sensitive areas.",
keywords = "Arteriovenous malformation, AVM, Dermal fat graft, Scalp",
author = "Husain, {Tarik M.} and Garrido, {Danon E.} and Ali Aziz-Sultan and Tang, {Jennifer C.} and Christopher Salgado",
year = "2012",
month = "9",
day = "1",
doi = "10.1097/SCS.0b013e3182587b54",
language = "English",
volume = "23",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Use of immediate dermal fat graft for scalp contour defect following resection of arteriovenous malformation

AU - Husain, Tarik M.

AU - Garrido, Danon E.

AU - Aziz-Sultan, Ali

AU - Tang, Jennifer C.

AU - Salgado, Christopher

PY - 2012/9/1

Y1 - 2012/9/1

N2 - Arterial venous malformations (AVMs) are rare conditions that are difficult to manage. Therapeutic options include selective embolization with or without surgical excision. Recurrence, however, is high despite correction of the primary abnormality. Cosmetic concern is among the indications for treatment, particularly if the AVM occurs on the face or scalp. Historically, AVM excision and the residual defect correction have been performed separately. We present the first case reported of a successful embolization and interval excision with immediate reconstruction using a dermal fat graft, as a novel approach to correct soft tissue defect following the resection of an AVM. A 35-year-old man presented with a 20-year history of a nonpulsating mass posterior to the hairline in the right frontoparietal region, measuring 4.0 cm on its longest axis. Embolization of the AVM was achieved by injecting N-butyl cyanoacrylic acid and ethiodol. One month after embolization, surgical excision of the mass was performed. The resulting disfiguring contour defect was immediately corrected using a dermal fat graft harvested from the groin. At 4 months' follow-up, the graft was viable with no evidence of resorption or epidermal cyst formation. In addition, there was no recurrence of the AVM and no complications at the donor site. This case demonstrates the utility of a dermal fat grafts in correcting the impending defect in 1 stage avoiding a second-stage procedure and significant period of cosmetic disfigurement. This method should be considered as a treatment option for patients requiring moderately sized AVM excisions in cosmetically sensitive areas.

AB - Arterial venous malformations (AVMs) are rare conditions that are difficult to manage. Therapeutic options include selective embolization with or without surgical excision. Recurrence, however, is high despite correction of the primary abnormality. Cosmetic concern is among the indications for treatment, particularly if the AVM occurs on the face or scalp. Historically, AVM excision and the residual defect correction have been performed separately. We present the first case reported of a successful embolization and interval excision with immediate reconstruction using a dermal fat graft, as a novel approach to correct soft tissue defect following the resection of an AVM. A 35-year-old man presented with a 20-year history of a nonpulsating mass posterior to the hairline in the right frontoparietal region, measuring 4.0 cm on its longest axis. Embolization of the AVM was achieved by injecting N-butyl cyanoacrylic acid and ethiodol. One month after embolization, surgical excision of the mass was performed. The resulting disfiguring contour defect was immediately corrected using a dermal fat graft harvested from the groin. At 4 months' follow-up, the graft was viable with no evidence of resorption or epidermal cyst formation. In addition, there was no recurrence of the AVM and no complications at the donor site. This case demonstrates the utility of a dermal fat grafts in correcting the impending defect in 1 stage avoiding a second-stage procedure and significant period of cosmetic disfigurement. This method should be considered as a treatment option for patients requiring moderately sized AVM excisions in cosmetically sensitive areas.

KW - Arteriovenous malformation

KW - AVM

KW - Dermal fat graft

KW - Scalp

UR - http://www.scopus.com/inward/record.url?scp=84867804402&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867804402&partnerID=8YFLogxK

U2 - 10.1097/SCS.0b013e3182587b54

DO - 10.1097/SCS.0b013e3182587b54

M3 - Article

VL - 23

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 5

ER -