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Infraorbital Cutaneous Angiosarcoma: Successful Surgical Management Applying Mitek Anchorage System.

Kulyapina A, Salmeron Escobar JI - J Cutan Aesthet Surg (2015 Jul-Sep)

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Gregorio Marañon General University Hospital, Madrid, Spain.

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Surgical excision combined with radiotherapy is the best treatment option... Nevertheless most patients do not undergo surgical treatment due to their poor general condition and delay in diagnosis... On magnetic resonance a highly vascularized soft tissue tumour in the infraorbital region was detected... The resultant defect of 7 × 5 centimetres involved soft tissues of the cheek, lateral side of the nasal region and infraorbital region... The Mitek anchorage system was applied in order to attach the flap to the bone: two Mitek anchors were placed in external canthal region and in frontonasal suture [Figures 3 and 4]... The patient did not present any complications in the postoperative period... The cervicofacial flap remained in a stable position [Figure 5]... The inferior eyelid position did not alter and no ectropion was observed... Slight contour deformity was observed in the infraorbital region due to the lack of volume provided by cervicofacial advancement flap... We consider that coverage of surgical defects in head and neck should be performed immediately as it can restore function allowing radiotherapy to begin faster (in our case the coverage of defect and prevention of ectropion prevented ocular complications in the patient)... Anchors are devices made of biocompatible metal alloys, with the main function being that of uniting soft tissues over bony structures... Suspension of the soft tissue flap in the infraorbital region is important in order to reduce the risk of ectropion or compromise of eyelid competency... Adjuvant radiotherapy is applied in cases of narrow or affected margins... There are no conflicts of interest.

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Related in: MedlinePlus

Preoperative image of the patient after three weeks interval demonstrate rapid growth of the tumour
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Figure 2: Preoperative image of the patient after three weeks interval demonstrate rapid growth of the tumour

Mentions: Three weeks passed between primary evaluation of the patient and the definitive diagnosis of right infraorbital angiosarcoma. A significant tumour growth was observed in this lapse of time [Figure 2]. The surgical treatment was programmed and the tumour was excised with surgical margins of 1 cm beyond the clinical margins. The resultant defect of 7 × 5 centimetres involved soft tissues of the cheek, lateral side of the nasal region and infraorbital region. The inferior eyelid of the right eye was preserved. The frontonasal suture and malar bone were practically degloved. Cervicofacial advancement flap was raised in order to reconstruct the defect. The Mitek anchorage system was applied in order to attach the flap to the bone: two Mitek anchors were placed in external canthal region and in frontonasal suture [Figures 3 and 4]. The patient did not present any complications in the postoperative period. The cervicofacial flap remained in a stable position [Figure 5]. The inferior eyelid position did not alter and no ectropion was observed. Slight contour deformity was observed in the infraorbital region due to the lack of volume provided by cervicofacial advancement flap.


Infraorbital Cutaneous Angiosarcoma: Successful Surgical Management Applying Mitek Anchorage System.

Kulyapina A, Salmeron Escobar JI - J Cutan Aesthet Surg (2015 Jul-Sep)

Preoperative image of the patient after three weeks interval demonstrate rapid growth of the tumour
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4645152&req=5

Figure 2: Preoperative image of the patient after three weeks interval demonstrate rapid growth of the tumour
Mentions: Three weeks passed between primary evaluation of the patient and the definitive diagnosis of right infraorbital angiosarcoma. A significant tumour growth was observed in this lapse of time [Figure 2]. The surgical treatment was programmed and the tumour was excised with surgical margins of 1 cm beyond the clinical margins. The resultant defect of 7 × 5 centimetres involved soft tissues of the cheek, lateral side of the nasal region and infraorbital region. The inferior eyelid of the right eye was preserved. The frontonasal suture and malar bone were practically degloved. Cervicofacial advancement flap was raised in order to reconstruct the defect. The Mitek anchorage system was applied in order to attach the flap to the bone: two Mitek anchors were placed in external canthal region and in frontonasal suture [Figures 3 and 4]. The patient did not present any complications in the postoperative period. The cervicofacial flap remained in a stable position [Figure 5]. The inferior eyelid position did not alter and no ectropion was observed. Slight contour deformity was observed in the infraorbital region due to the lack of volume provided by cervicofacial advancement flap.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Gregorio Marañon General University Hospital, Madrid, Spain.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Surgical excision combined with radiotherapy is the best treatment option... Nevertheless most patients do not undergo surgical treatment due to their poor general condition and delay in diagnosis... On magnetic resonance a highly vascularized soft tissue tumour in the infraorbital region was detected... The resultant defect of 7 × 5 centimetres involved soft tissues of the cheek, lateral side of the nasal region and infraorbital region... The Mitek anchorage system was applied in order to attach the flap to the bone: two Mitek anchors were placed in external canthal region and in frontonasal suture [Figures 3 and 4]... The patient did not present any complications in the postoperative period... The cervicofacial flap remained in a stable position [Figure 5]... The inferior eyelid position did not alter and no ectropion was observed... Slight contour deformity was observed in the infraorbital region due to the lack of volume provided by cervicofacial advancement flap... We consider that coverage of surgical defects in head and neck should be performed immediately as it can restore function allowing radiotherapy to begin faster (in our case the coverage of defect and prevention of ectropion prevented ocular complications in the patient)... Anchors are devices made of biocompatible metal alloys, with the main function being that of uniting soft tissues over bony structures... Suspension of the soft tissue flap in the infraorbital region is important in order to reduce the risk of ectropion or compromise of eyelid competency... Adjuvant radiotherapy is applied in cases of narrow or affected margins... There are no conflicts of interest.

No MeSH data available.


Related in: MedlinePlus