Rafique Mirza M Ali I Raf, Naveed Azhar, Abdul Hameed.
Surgical Management of Head and Neck Vascular Malformations.
Proceeding Shaikh Zayed Postgrad Med Comp Jan ;23(2):75-80.

Background: Vascular malformations cause functional and cosmetic abnormalities. This study presents experience of surgical management and outcome of these morphologic disorders. Place and Duration of Study: The study was carried out from January 2005 to December 2009 at the Department of Plastic and Reconstructive Surgery Shaikh Zayed Hospital, Lahore. Patients and Methods: All the patients with vascular malformations in the head and neck region above the age of 10 years were included. Results: Thirty two patients were included in the study. Male to female ratio was 1:1.6. Slow flow malformations were 3.5 times more common than high flow malformations. Primary closure was achieved in 12 cases. Staged debulking was done in 10 patients with complete excision in 4 patients and incomplete excision in 6 patients. Full thickness skin grafting was performed in 6 cases while flap reconstruction was done in 4 cases. Overall complication rate was 22% with recurrence of lesion in 6.25% cases. Massive hemorrhage occurred in two patients during surgery requiring whole blood transfusion. Conclusion: Proper diagnosis, knowledge and surgical expertise for excision and reconstruction is essential for favorable outcome in these lesions.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com