Safe and Efficient Removal of Massive Head and Neck Vascular Malformations Using Vessel Sealing Energy Devices

J Craniofac Surg. 2021 Jul-Aug;32(5):e457-e459. doi: 10.1097/SCS.0000000000007295.


Large vascular malformations (VMs) pose several difficult clinical challenges to the plastic surgeon. Traditionally surgical dissection was labor-intensive and required a significant amount of time and technique. The advent of more advanced vessel sealing devices has resulted in easier vascular and lymphatic control during resection surgery. The authors present 2 cases of large VMs resected using newer energy devices. First, an infant who was born with a large neck AVM that was acutely bleeding requiring immediate control. The authors utilized the Impact Ligasure device to perform a subtotal resection, stabilize the patient, and returned for definitive resection in the future. In the second case, an adult male with a large complex tongue/lip AVM, presented for elective resection. He underwent staged sclerotherapy, followed by resection using the Harmonic Scalpel. The use of vessel sealing devices allows for a safe and efficient resection for a previously difficult surgery.

MeSH terms

  • Adult
  • Head
  • Humans
  • Infant
  • Male
  • Neck* / surgery
  • Sclerotherapy
  • Surgical Instruments
  • Vascular Malformations* / diagnostic imaging
  • Vascular Malformations* / surgery