Surgical Management of Giant Scalp XXXX After Ultra-Selective Embolization of Nutrient Artery.

@entity1 @entity548 @entity12464 @entity5 @entity190 @entity3292 @entity887
OBJECTIVES: @entity3292 , a common @entity5 in soft tissue, continues to grow, so it often appears to be giant. Surgical management of @entity3292 is a challenge due to the risk of excessive @entity548 . @entity12464 's nutrient artery may reduce the @entity190 in operation. This study introduces the surgical management of giant scalp @entity3292 with preoperative ultra-selective embolization of nutrient artery. METHODS: From January 2006 to December 2013, 9 @entity1 with giant scalp @entity3292 were enrolled into the study. Digital subtraction angiography (DSA) showed @entity5 's nutrient artery. Ultra-catheter was inserted into the nutrient artery and its branches as close as possible to the @entity5 . Then ultra-selective embolization was performed with gelatin sponge particles. Surgical @entity5 was performed in 3 days after embolization. The wound was repaired by skin graft. RESULTS: All of the 9 @entity1 underwent successful DSA and ultra-selective embolization. Among them, occipital artery was embolized in 3 @entity1 (left side in 1 @entity1 and right side in 2 @entity1 ). Both occipital artery and superficial temporal artery were embolized in 6 @entity1 (left side in 2 @entity1 , right side in 3 @entity1 , and both side in 1 @entity1 ). No complications, such as @entity887 , occurred in the @entity1 . All of the @entity5 were resected completely without blood transfusion. The skin graft survived very well on the wounds. CONCLUSIONS: Preoperative ultra-selective embolization of nutrient artery is a feasible, safe, and effective method to reduce the @entity190 in operation and facilitate the surgical management of giant scalp @entity3292 .
