Indian Journal of Medical Research

CLINICAL IMAGE
Year
: 2020  |  Volume : 152  |  Issue : 7  |  Page : 96--97

A simple method for treating ear arteriovenous malformation


Sumita Shankar1, Mandakini T Kotaiah2,  
1 Department of Plastic Surgery, Guntur Medical College, Guntur 522 004, Andhra Pradesh, India
2 Department of Paediatric Surgery, Niloufer Hospital for Women & Children, Hyderabad 500 004, Telangana, India

Correspondence Address:
Mandakini T Kotaiah
Department of Paediatric Surgery, Niloufer Hospital for Women & Children, Hyderabad 500 004, Telangana
India




How to cite this article:
Shankar S, Kotaiah MT. A simple method for treating ear arteriovenous malformation.Indian J Med Res 2020;152:96-97


How to cite this URL:
Shankar S, Kotaiah MT. A simple method for treating ear arteriovenous malformation. Indian J Med Res [serial online] 2020 [cited 2021 Sep 27 ];152:96-97
Available from: https://www.ijmr.org.in/text.asp?2020/152/7/96/316754


Full Text

A three yr old male child† presented to the department of Paediatric Surgery, Niloufer Government Hospital, Hyderabad, India, in June 2012, with enlarged left ear since birth. Tortuous and dilated vessels were seen extending from the lateral third of the face anteriorly to beyond midline superiorly and posteriorly [Figure 1]A and [Figure 1]B. Investigation confirmed the diagnosis of high-flow arteriovenous malformation (AVM) of the left ear with feeders from superficial temporal vessels, occipital vessels from both sides and other branches of external carotid artery. Excision of the lesion was planned under general anaesthesia but was abandoned intra-operatively. Instead, three rows of circumferential back stitch were applied around the ear to encompass all the peripheral visible tortuous vessels [Figure 2]. Left external carotid artery was also ligated. Sutures were removed after six weeks and patient was followed up at regular intervals [Figure 3] and [Figure 4]. Subsequent investigation did not reveal any recurrence. High-flow AVMs are embolized preoperatively to reduce the amount of blood loss and ease the dissection. As an akin to preoperative embolization, this innovative technique was attempted. Major blood vessels got obliterated with back stitch and keeping it for six weeks prevented recanalization of the vessels.{Figure 1}{Figure 2}{Figure 3}{Figure 4}

Conflicts of Interest: None.