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Odisha girl undergoes rare surgery at Stanley

DTNext 2018-10-11 00:00:00

A 12-year-old girl from Odisha, who was affected by arteriovenous malformation, a congenital abnormality of the blood vessels, underwent a rare surgery at the Stanley Government Hospital recently.

Dasabanti Dakua with family and the team of doctors Chennai: Dasabanti Dakua, daughter of a tea seller from Odisha, had a discoloured patch on her face and a swelling over her upper lip. The swelling had increased in the past two years and she was bleeding from her gums every time she brushed her teeth. After visits to private hospitals in Odisha, Vishakapatnam and Hyderabad, where she found no solution for her condition, Dakua was brought to the Stanley Medical College Hospital.
The malformation grows slowly but can get accelerated in short periods during puberty when there are hormonal changes or because of trauma. The condition can arise from any of the blood vessels. Talking to DT Next, Dr K Elancheralathan, professor and head of the department, Department of Vascular Surgery at the hospital who led the team, said, “Arteriovenous malformations in the face are usually present since birth with an incidence of 1 in one lakh individuals. 
In the last one year, we have seen 22 such cases in the age group below 15 years. If it is in the hands or legs, it could have been a relatively simple case. However, in Dakua’s case the swelling and the underlying facial bones and gums was the tip of an iceberg, as it was showing multiple abnormal branches arising from a major artery, which also supplies blood to the eye and brain. Due to this, if operated, there is a high risk of ischemia to eyes and brain, leading to vision loss and stroke and also disfigurement of lips with life-threatening bleeding.”
With a multi-disciplinary approach, the staging procedure was planned with help of interventional Radiologist. The feeding vessel was blocked with coils from both sides of the face following which the blood supply to the lesion was dramatically reduced. Surgical removal of the skin lesion was also carried out within 48 hours apart from cosmetic repair.