TREATMENT OF MANDIBULAR ARTERIOVENOUS MALFORMATION BY EMBOLIZATION : A CASE REPORT

하악골에 발생한 동정맥 기형의 혈관 색전술에 의한 치험례

  • Lee, Seung-Ho (Dept. of Oral and Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University) ;
  • Seo, Dae-Cheol (Dept. of Diagnostic Radiology, Asan Medical Center, Medical College of Ulsan University) ;
  • Chang, Hyun-Ho (Dept. of Oral and Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University) ;
  • Lee, Bu-Kyu (Dept. of Oral and Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University)
  • 이승호 (울산대학교 의과대학 서울아산병원 구강악안면외과) ;
  • 서대철 (울산대학교 의과대학 서울아산병원 진단방사선과) ;
  • 장현호 (울산대학교 의과대학 서울아산병원 구강악안면외과) ;
  • 이부규 (울산대학교 의과대학 서울아산병원 구강악안면외과)
  • Published : 2003.12.31

Abstract

Mandibular arteriovenous malformations(AVM) are relatively rare and potentially life threatening lesions. Surgical treatment consists of wide resection of the mandible, which is difficult and potentially hazardous due to significant blood loss during surgery. Therefore, some authors advocate that transvenous embolization may be a safer and more effective method in the treatment of mandibular AVM. We report a treatment case of mandibular AVM in a 9-year-old-girl for episodes of spontaneous bleeding for 6 days using by selective transarterial embolization, direct puncture embolization and microcoil embolization.

Keywords

References

  1. Anderson J.H., R.J. Grisius, and T.W. McKean, Arteriovenous malformation of the mandible. Oral Surg Oral Med Oral Pathol, 52(2): p. 118-25,1981.
  2. Engel J.D. J.S. Supancic, and L.F. Davis, Arteriovenous malformation of the mandible: life-threatening complications during tooth extraction. J Am Dent Assoc, 126(2): p. 237-42,1995.
  3. Fathi, M. et al., Large arteriovenous high-flow mandibular, malformation with exsanguinating dental socket haemorrhage: a case report. J Craniomaxillofac Surg, 25(4): p. 228-31,1997.
  4. Guibert-Tranier F. et al., Vascular malformations of the mandible (intraosseous haemangiomas). The importance of preoperative embolization. A study of 9 cases. Eur J Radiol, 2(4): p. 257-72,1982.
  5. Svane T.J. et al., Arteriovenous malformation of the mandible and its treatment: a case report. Oral Surg Oral Med Oral Pathol, 67(4): p. 379-83,1989.
  6. Gallagher D.M., D. Hilley, and B.N. Epker, Surgical treatment of an arteriovenous malformation of the mandible in a child. A case report. J Maxillofac Surg, 11(6): p. 279-83,1983.
  7. Van den Akker H.P., L. Kuiper, and F.L. Peeters, Embolization of an arteriovenous malformation of the mandible. J Oral Maxillofac Surg, 45(3): p. 255-60,1987.
  8. Abouzgia M.B. and J.M. Symington, Recurrent arteriovenous malformation of the mandible: a case report. J Oral Maxillofac Surg, 50(11): p. 1230-3,1992.
  9. Flandroy P. and J.P. Pruvo, Treatment of mandibular arteriovenous malformations by direct transosseous puncture: report of two cases. Cardiovasc Intervent Radiol, 17(4): p. 222-5,1994.
  10. Perrott D.H., et al., Treatment of a high-flow arteriovenous malformation by direct puncture and coil embolization. J Oral Maxillofac Surg, 52(10): p. 1083-6,1994.
  11. Mosnier I., et al., [Arteriovenous malformation of the mandible. Apropos of a case in a 6-year-old child]. Ann Otolaryngol Chir Cervicofac, 113(7-8): p. 434-9,1996.
  12. Jackson I.T., et al., The management of intraosseous arteriovenous malformations in the head and neck area. Plast Reconstr Surg, 84(1): p. 47-54,1989.
  13. Kula K., et al., High-flow vascular malformations: literature review and case report. Pediatr Dent, 18(4): p. 322-7,1996.
  14. McKenna S.J. and S.C. Roddy, Jr., Delayed management of a mandibular vascular malformation. J Oral Maxillofac Surg, 47(5): p. 517-22,1989. https://doi.org/10.1016/0278-2391(89)90289-9
  15. Kiyosue H., et al., Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report. Head Neck, 21(6): p. 574-7,1999.
  16. Mohammadi H., N.A. Said-al-Naief, and L.B. Heffez, Arteriovenous malformation of the mandible: report of a case with a note on the differential diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(3): p. 286-9,1997.
  17. Beek F.J. et al., Transvenous embolisation of an arteriovenous malformation of the mandible via a femoral approach. Pediatr Radiol, 27(11): p. 855-7 ,1997..
  18. Benndorf G. et al., Endovascular management of a bleeding mandibular arteriovenous malformation by transfemoral venous embolization with NBCA. AJNR Am J Neuroradiol, 22(2): p. 359-62,2001.