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Clinical assessment and management of auricular arteriovenous malformation: retrospective study

  • Kim, Do Gon (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Cho, Hyun Geun (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Ryu, Jeong Yeop (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Joon Seok (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Seok Jong (Vascular Anomalies Center, Kyungpook National University Hospital) ;
  • Lee, Jong Min (Vascular Anomalies Center, Kyungpook National University Hospital) ;
  • Lee, Sang Yub (Vascular Anomalies Center, Kyungpook National University Hospital) ;
  • Huh, Seung (Vascular Anomalies Center, Kyungpook National University Hospital) ;
  • Kim, Ji Yoon (Vascular Anomalies Center, Kyungpook National University Hospital) ;
  • Chung, Ho Yun (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University)
  • 투고 : 2021.05.11
  • 심사 : 2021.06.20
  • 발행 : 2021.06.20

초록

Background: Arteriovenous malformation (AVM) which is a high-blood-flow lesion with connections between arteries and veins without an intervening capillary bed, is difficult to manage. The ear is the second most common site of extracranial AVM. However, studies regarding the management of this condition remain lacking. The purpose of this study was to share managing experiences in our center and to investigate the treatment effect through a retrospective analysis of cases. Methods: Among 265 patients with AVM treated in our vascular anomalies center between January 2008 and January 2021, 10 patients with auricular AVM were included in the study to investigate the lesion distribution, clinical stage, and treatment methods by performing a retrospective evaluation. Results: Among 10 patients, five patients had AVMs distributed in the upper half of the ear, one patient in the lower half of the ear, and four patients in whole ear, respectively. Seven patients had Schobinger stage II, and three had stage III. One patient received surgical treatment only, four patients received sclerotherapy only, and five patients received both surgical treatment and sclerotherapy. The posttreatment status was checked as controlled in two patients, improved in seven patients, persistent in one patient. There were no worsening patients. Conclusion: Auricular AVM is a disease that is difficult to manage by one specific department, thus requiring a collaborative management effort from multidisciplinary team.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2020R1A2C2009496).

참고문헌

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