PMC5339618_01
The lesion first appeared when the patient was 9 years old as a small, solitary, non-ulcerated, slow growing lesion
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F1
At the beginning, it had been an erythematous lesion in the nasal area which enlarged over time and used to bleed with patient's manipulation (Figure 1).
The patient at 28 years of age, when he was visited in our center. Staged-surgery was planned for the patient.
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F2
At age 28, he was visited in our center (Figure 2).
High flow AVM
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F3
Expansion was done for 10 weeks until the desired size was achieved (Figure 3). The feeding vessels of AVM were ligated and the lesion was completely excised off the bone and cartilage and the wound was left open (Figure 3 and 4).
Tissue expander in fore head flap area
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F4
The feeding vessels of AVM were ligated and the lesion was completely excised off the bone and cartilage and the wound was left open (Figure 3 and 4).
AVM excised
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F5
The donor site was closed primarily (Figure 5 and 6).
The forehead flap
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F6
The donor site was closed primarily (Figure 5 and 6).
Three days after the operation
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F7
The patient did not need transfusion during surgery or after it and he did not show any complication over 3 months post-operative follow up (Figure 7 and 8).
Six weeks after the operation
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F8
The patient did not need transfusion during surgery or after it and he did not show any complication over 3 months post-operative follow up (Figure 7 and 8).