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KMID : 0358819840110040457
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1984 Volume.11 No. 4 p.457 ~ p.464
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ELECTROCOAGULATION AS A TEEATMENT OF CAVENOUS HEMANGIOMA IN THE HEAD AND NECK
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Cho Byoung-Chil
Lee Tai-Kwun
Ha Ji-Woon
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Abstract
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Enlarging congenital arteriovenous malformation poses an unsolved surgical challenge. The etiology and pathogenesis are obscure. Grotesque facial disfigurement provokes reactions of revulsion, which may lead to complete with-drawal of the patient from society. These people are desperate for any improvement in their appearance. At present, there are no definitive therapeutic methods for these lesions. Among the therapeutic methods, the surgical excision has been the most commonly used method of treatment. But surgical complete extripation was not possible because of extensive intraoperative bleeding. Recently, to reduce intraoperative bleeding, methods such as "arterial embolization or electrothrombosis with superse lective angiography" were introduced and widened the scope of possible treatment. But these methods may evoke such serious complications as extensive tissue necrosis or distant intracranial embolization. Other disadvantages to the methods are the neccessity of special equipment and well trained specialists.
We used electrocoagulation for treatment of hemangioma as a therapeutic method or as a preliminary procedure for later surgical extirpation.
Based on our 3 year’s experience, electrocoagulation proved to be usefull. We report our observations.
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KEYWORD
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