Giant malignant fibrous histiocytoma of the face: case report of microsurgical repair using a transverse rectus abdominis myocutaneous flap
Introduction: The resection of invasive tumors of the head and neck can result in extensive and complex defects requiring immediate repair. One repair option is the transfer of a transverse rectus abdominis myocutaneous (TRAM) flap pedicled on deep inferior epigastric vessels using vascular microsur...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2359/en_v34n1a22.pdf |
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| author | Rui Antonio Aquino De Azevedo Breno Ricelly Ávila Pinheiro Raina Caterina Coelho Arrais Bruno Fabrício Ávila Pinheiro |
| author_facet | Rui Antonio Aquino De Azevedo Breno Ricelly Ávila Pinheiro Raina Caterina Coelho Arrais Bruno Fabrício Ávila Pinheiro |
| author_sort | Rui Antonio Aquino De Azevedo |
| collection | DOAJ |
| description | Introduction: The resection of invasive tumors of the head and neck can result in extensive and complex defects requiring immediate repair. One repair option is the transfer of a transverse rectus abdominis myocutaneous (TRAM) flap pedicled on deep inferior epigastric vessels using vascular microsurgery. This study aimed to register a procedure used in the microsurgical treatment of giant malignant fibrous histiocytoma of the face using a TRAM flap.
Case Report: A male patient sought medical care for a giant tumoral lesion in the right hemiface. Computed tomography of the skull revealed a voluminous expansive process of vegetating aspect with poorly defined borders. The excision of the tumor affected the right masseter and temporalis muscles, parotid gland, and right orbital and malar bones. Subsequently, microsurgical withdrawal of the TRAM flap was performed with the deep inferior epigastric artery through a surgical incision in the hypogastric area. Dissection of the facial artery and vein under microscopy and venous and arterial anastomoses followed. The flap was intact with good perfusion and no signs of infection.
Conclusions: Microsurgical facial reconstruction allows head and neck surgeons to resect large tumors. |
| format | Article |
| id | doaj-art-cdcdda3022bf48b581ee87fec59fad5c |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-cdcdda3022bf48b581ee87fec59fad5c2025-08-20T02:51:52ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-03-01340114314710.5935/2177-1235.2019RBCP0022Giant malignant fibrous histiocytoma of the face: case report of microsurgical repair using a transverse rectus abdominis myocutaneous flapRui Antonio Aquino De Azevedo0Breno Ricelly Ávila Pinheiro1Raina Caterina Coelho Arrais2Bruno Fabrício Ávila Pinheiro3Hospital Ophir Loyola, Belém, PA, BrazilUniversidade Estadual do Pará, Belém, PA, BrazilUniversidade Federal do Pará, Belém, PA, BrazilUniversidade Estadual do Pará, Belém, PA, BrazilIntroduction: The resection of invasive tumors of the head and neck can result in extensive and complex defects requiring immediate repair. One repair option is the transfer of a transverse rectus abdominis myocutaneous (TRAM) flap pedicled on deep inferior epigastric vessels using vascular microsurgery. This study aimed to register a procedure used in the microsurgical treatment of giant malignant fibrous histiocytoma of the face using a TRAM flap. Case Report: A male patient sought medical care for a giant tumoral lesion in the right hemiface. Computed tomography of the skull revealed a voluminous expansive process of vegetating aspect with poorly defined borders. The excision of the tumor affected the right masseter and temporalis muscles, parotid gland, and right orbital and malar bones. Subsequently, microsurgical withdrawal of the TRAM flap was performed with the deep inferior epigastric artery through a surgical incision in the hypogastric area. Dissection of the facial artery and vein under microscopy and venous and arterial anastomoses followed. The flap was intact with good perfusion and no signs of infection. Conclusions: Microsurgical facial reconstruction allows head and neck surgeons to resect large tumors.http://www.rbcp.org.br/export-pdf/2359/en_v34n1a22.pdfmyocutaneous flapreconstructive surgical proceduresneoplasmsrectus abdominisface |
| spellingShingle | Rui Antonio Aquino De Azevedo Breno Ricelly Ávila Pinheiro Raina Caterina Coelho Arrais Bruno Fabrício Ávila Pinheiro Giant malignant fibrous histiocytoma of the face: case report of microsurgical repair using a transverse rectus abdominis myocutaneous flap Revista Brasileira de Cirurgia Plástica myocutaneous flap reconstructive surgical procedures neoplasms rectus abdominis face |
| title | Giant malignant fibrous histiocytoma of the face:
case report of microsurgical repair using a transverse
rectus abdominis myocutaneous flap |
| title_full | Giant malignant fibrous histiocytoma of the face:
case report of microsurgical repair using a transverse
rectus abdominis myocutaneous flap |
| title_fullStr | Giant malignant fibrous histiocytoma of the face:
case report of microsurgical repair using a transverse
rectus abdominis myocutaneous flap |
| title_full_unstemmed | Giant malignant fibrous histiocytoma of the face:
case report of microsurgical repair using a transverse
rectus abdominis myocutaneous flap |
| title_short | Giant malignant fibrous histiocytoma of the face:
case report of microsurgical repair using a transverse
rectus abdominis myocutaneous flap |
| title_sort | giant malignant fibrous histiocytoma of the face case report of microsurgical repair using a transverse rectus abdominis myocutaneous flap |
| topic | myocutaneous flap reconstructive surgical procedures neoplasms rectus abdominis face |
| url | http://www.rbcp.org.br/export-pdf/2359/en_v34n1a22.pdf |
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