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Head and neck vascular lesions management has been a great challenge to the surgeons due to catastrophic bleeding that obscures the visibility during the surgery. A proposed surgical technique called CORSET SUTURING for the treatment of non cutaneous low-flow vascular malformations in the head and neck region minimizes the blood loss and facial disfigurement. Corset sutures are placed to strangulate the lesion and restore the facial symmetry with the least amount of comorbidities. The aim of the present study is to describe the clinical characteristics of patients treated by corset suturing technique, material used and surgical morbidity, in order to contribute to a better understanding of this technique. Medical records and images of 15 patients treated by the same corset suturing protocol were retrieved and analysed. The indications, advantages and disadvantages, technique and complications observed are discussed. There was a significant reduction in the bulkiness of tumour mass noted and also a return of the regional facial outline was evident. In conclusion, corset suturing has an important role in management of diffuse low-flow vascular malformations of the head and neck as it is found to be a simple, cost-effective, less scarring and acceptable method, hence can be considered as an alternative to the other expensive methods such as embolization, with least surgical comorbidities.
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2. Berenguer B, Burrows PE, Zurakowski D, Mulliken JB. Sclerotherapy of craniofacial venous malformations: complications and results. Plast Reconstr Surg. 1999;104(1):1-11.
3. Dubois J, Soulez G, Oliva VL, Berthiaume M, Lapierre C, Therasse E. Soft-Tissue Venous Malformations in Adult Patients: Imaging and Therapeutic Issues. RadioGraphics. 2001;21(6):1519-31.
4. Johnson PL, Eckard DA, Brecheisen MA, Girod DA, Tsue TT. Percutaneous ethanol sclerotherapy of venous malformations of the tongue. AJNR Am J Neuroradiol. 2002;23(5):779-82.
5. Mulliken JB, Rogers GF, Marler JJ. Circular Excision of Hemangioma and Purse-String Closure: The Smallest Possible Scar. Plastic and Reconstructive Surgery. 2002;109(5):1544-54.
6. Vlahovic A, Simic R, Kravljanac D. Circular excision and purse-string suture technique in the management of facial hemangiomas. International Journal of Pediatric Otorhinolaryngology. 2007;71(8):1311-5.
7. Dompmartin A, Vikkula M, Boon LM. Venous malformation: update on aetiopathogenesis, diagnosis and management. Phlebology. 2010;25(5):224-35.
8. Nair S, Spencer N, Nayak K, Balasubramaniam K. Surgical management of vascular lesions of the head and neck: a review of 115 cases. International Journal of Oral and Maxillofacial Surgery. 2011;40(6):577-83
9. Cornelis F, Neuville A, Labrèze C, et al. Percutaneous Cryotherapy of Vascular Malformation: Initial Experience. Cardiovasc Intervent Radiol. 2013;36(3):853-6.
10. Colbert SD, Seager L, Haider F, Evans BT, Anand R, Brennan PA. Lymphatic malformations of the head and neck—current concepts in management. British Journal of Oral and Maxillofacial Surgery. 2013;51(2):98-102.
11. Zheng JW, Mai HM, Zhang L, et al. Guidelines for the treatment of head and neck venous malformations. Int J Clin Exp Med. 2013;6(5):377-89.
12. Colletti G, Colombo V, Mattassi R, Frigerio A. Strangling technique to treat large cervicofacial venous malformations: a preliminary report. Head Neck. 2014;36(10):E94–8.
13. Behravesh S, Yakes W, Gupta N, et al. Venous malformations: clinical diagnosis and treatment. Cardiovasc Diagn Ther. 2016;6(6):557-69.
14. Kumar V, Nair S. Corset sutures in the management of vascular lesions of the head and neck — our experience. International Journal of Oral and Maxillofacial Surgery. 2017;46:145.
15. Colletti G, Ierardi AM. Understanding venous malformations of the head and neck: a comprehensive insight. Med Oncol. 2017;34(3)
16. Nair S, Chawla J, Shroff S, Kumar B, Shah A. Corseting: a new technique for the management of diffuse venous malformations in the head and neck region. International Journal of Oral and Maxillofacial Surgery. 2018;47(12):1534-40.
17. Nair S, Chawla J, Shroff S, Kumar B, Shah A. ‘Corseting’ and ‘strangling’—two techniques sharing similar concepts to treat large venous malformations in the head and neck region. International Journal of Oral and Maxillofacial Surgery. 2019;48(5):698.
18. Omranifard M, Rasti Ardakani M, Jafari R. Postoperative Outcomes in Patients with Facial Vascular Malformation Regarding Quality of Scar, Satisfaction, and Quality of Life. Shiraz E-Med J. 2022;23(10):e122799.