Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Aug;36(4):333-336.
doi: 10.14639/0392-100X-1351.

Arterio-venous malformation of the mandible. Case report and review of literature

R Spreafico  1 , L Sordo  1 , R Bellotto  1 , M Schipano  1 , A Rescaldani  1 , F Parmigiani  1
Affiliations
Review

Arterio-venous malformation of the mandible. Case report and review of literature

R Spreafico et al. Acta Otorhinolaryngol Ital. 2016 Aug.

Abstract
in English, Italian

Arteriovenous malformation (AVM) of the head and neck is a rare and potentially life threatening entity due to massive haemorrhage. There are several indications for treatment, including age of the patient and location, extent and type of vascular malformation. Endovascular therapy can effectively cure most lesions with limited tissue involvement. Surgery can be used in selected cases in combination with embolization. Here we report the case of a young woman affected by a massive AVM on the left side of the mandible and submandibular region, and also review the literature on AVM with special attention to treatment strategies.

Le malformazioni arterovenose (MAV) del distretto cervico-facciale sono patologie rare e potenzialmente letali a causa delle imponenti emorragie che possono determinare. Il trattamento dipende dall’età del paziente, dalla sede, dall’estensione e dalla tipologia della malformazione. La terapia endovascolare è efficace nella maggior parte dei casi che presentano un’estensione limitata. In casi selezionati, e sempre in associazione con l’embolizzazione, si può ricorrere alla chirurgia. Nel presente articolo riportiamo il caso di una giovane donna affetta da un’estesa MAV dell’emimandibola e della regione sottomandibolare sinistra. Viene inoltre effettuata una revisione della letteratura prodotta su questo argomento con particolare attenzione alla strategia di trattamento.

Keywords: Arterio-venous malformation; Mandible; Submandibular region; Treatment.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Extensive radiolucency in the left mandible by panoramic radiograph.
Fig. 2.
Fig. 2.
Abnormal enlargement of the left alveolar canal with integral cortical bone by dental scan.
Fig. 3.
Fig. 3.
MRI and MRA scans showing an extensive highly vascularized lesion involving the left side of the mandible and left submandibular region.
Fig. 4.
Fig. 4.
Subtotal closure of the AVM on MRI and MRA performed the day after embolization.
Fig. 5.
Fig. 5.
Two months after intervention, post-surgical MRI and MRA showed an empty submandibular triangle and almost complete reabsorption of the AVM in the mandible.
See this image and copyright information in PMC

References

    1. Mulliken JB, Young AE. Vascular birthmarks: hemangiomas and malformations. WB Saunders; 1988.
    1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69:412–422. - PubMed
    1. Waner M, Suen JY. Management of congenital vascular lesions of the head and neck. Oncology. 1995;9:989–994. - PubMed
    1. Higuera S, Gorldey K, Metry DW, et al. Management of heamangiomas and pediatric vascular malformations. J Craniofac Surg. 2006;17:783–789. - PubMed
    1. Hurwitz DJ, Kerber CW. Hemodinamic considerations in the treatment of arteriovenous malformations of the face and scalp. Plast Reconstr Surg. 1981;67:421–432. - PubMed