Av malformation is a complex thing to treat with no easy solutions. They are of various types Vascular tumors 1 infantile haemangioma 2 haemangioendothelioma 3Haemangiopericytoma Slow flow malformations 1 capillary malformation 2 Venous malformations 3 Lymphatic malformation 4 Combined Fast flow malformation 3 Arterial venous malformations 4 ArterialVeno fistula 5 combined These vascular malformations come in various symptoms pain , bleeding , swelling, throbbing sensation , ulceration , compression. pre op view AV malformation post view final defect Final defect skin flaps being tacked Add caption skin graft after one week 40 year old with a complex vascular malformation on posterior and lateral aspects of neck. He was operated 5 times . MRI showed intramuscular and above fascia extent of malformation. So it was decided to embolism below fascia malformation and excise abo...