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Jenny Indah Haryani
Ahmad Fawzy Mas’ud

Abstract





Background : Arterio-venous malformations (AVMs) defined as high-flow vascular malformations of dysmorphic arterial and venous vessels. And connected directly to one another without an intervening capillary bed. The incidence is higher in females than male (3-5:1). Globally, there are only 5 cases of genital hemangiomas reported. Various treatment has been investigated, a recent topical treatment is the application of timolol. It has minimal adverse effects, easy administration, and good cosmetic outcomes. However, the effectiveness of timolol in vulvar cases remains unclear.



Case Report : A one-year-old girl was brought by her mother with complaint of a lump in her child's genitals. The lump was appeared during the early days of her life and it was getting bigger gradually. A plastic surgeon performed excision and reconstruction procedure using the island abdominal flap technique.



Discussion : Preserving vaginal function and perineal integrity is quite challenging, and cosmesis correspondingly less important. The patient underwent surgical excision and primary closure procedure in the labia majora region, followed with abdominal flap tunneled through the mons pubis.



Conclusion: Surgical excision and primary closure are the most recommended procedure for overcoming genital lesion. A reconstruction using flap following the procedure resulted in a normal contour and well functioned genital.





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How to Cite
1.
Haryani JI, Mas’ud AF. Island Abdominal Skin Flap For Reconstruction Post Excision Defect Of Arterio-Venous Malformation In Labia Majora: A Case Report. J Plast Rekons [Internet]. 2020Jan.16 [cited 2020Apr.7];6(1):254-7. Available from: http://jprjournal.com/index.php/jpr/article/view/274
References
1. Joshua A Cox, Erica Bartlett, Edward I Lee. Vascular Malformations: A Review. Thieme Med Pub. 2014; 28:58-63.
2. Ricther, Gresham T.; Friedman, Adva B. Hemangiomas and Vascular Malformations: Current Theory And Management. Int Journal of Pediatrics. 2012 January.
3. Beata Durcanova, Alvin Y. Chan, Joeseph A. Osorio, Cynthia Chin, Sean P. Ferris, Andrew W. Bollen, Line Jacques. Venous Vascular Malformations and Compressive neuropathy. elsevier. 2019 January; 16: 113-116.
4. Sandra Eifert,J. Leonel Villavicencio, Tzu-Cheng Kao, Bettina M. Taute, and Norman M. Rich. Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance. J vasc surg. 2000; 31(3): 462-471.
5. Brian M. Christenson, Matthew G. Gipson, and Mitchell T. Smith. Pelvic Vascular Malformations. Sem Intervent Rad. 2013; 30:364-371.
6. Pankaj P. Dangle, Lopa L. Pandya IV, Casimir F. Firlit. Bilateral Asymtomatic Incidental Vulvar/ Labial Hemangioma: Kissing Hemangiomas. Page Press. 2011; 25:e10.
7. Burrows PE. Vascular Malformation Involvin The Female Pelvis. Sem Intervent Rad. 2008; 25(4):347.
8. Dorland WAN. Dorland's Illustrated Medical Dictionary. In Flap. Philadelphia: Elsvr Sndrs; 2011. p. 715.
9. Mary Tschoi, Erik A. Hoy, Mark S. Granick. Skin Flaps. Clinc In Plast Surg. 2005; 32: 261-273.
10. Arash Kimyai Asadi, Leonard H. Goldberg. Island Pedicle Flap. Dermatol Clinc. 2005; 23: 113-127.
11. P.E. Nichols, J.E. Michaud, M.H. Wang. Infantile Hemangioma Of The Clitoris Presenting As A Clitoral Mass: A Case Report. Elsevier. 2017 September; 15: 44-45.
12. Julie Beveridge, Frankie OG Fraulin, Ulrich Amendy. Management Of A Rare Case Of Multiple Arteriovenous Malformations In The Context Of Neurofibromatosis Type 2. Plast Surg Case Studies. 2015; 1(1): 15-18.
13. Fu-Chan Wei, Samir Mardini. Flaps And Reconstructive surgery. 2nd ed. Wei FC, editor. British: Saunders; 2009.
14. ThorneCH.GrabbAndSmith'sPlasticSurgery. 6th ed. Throne CH, editor. New York: Lipponcott Williams and Wilkins; 2007.