Liu D, Ma X C
Department of Oral Radiology, Stomatological School, Beijing Medical University (BMU), No. 38, Baishiqiao Road, Beijing, 100081, P. R. China.
Chin J Dent Res. 2000 Nov;3(3):63-70.
To evaluate the value of embolization on arteriovenous malformations (AVM) in the oral and maxillofacial region and to investigate the efficacy of several different embolic materials.
10 cases with AVMs, including 5 AVMs mainly in the soft tissue and 5 intraosseous lesions, were embolized. Clinical and angiographic effects were analyzed during the 3 to 16 months follow-up.
In the 5 cases embolized without other treatment, 1 case was embolized 3 times, 3 cases twice, and 1 case once. In these cases, postembolization angiograms revealed complete or nearly complete disappearance of the lesions. In the other 5 cases, embolized before surgery, intraoperative bleeding was significantly decreased. All these patients were free of recurrence during follow-up. Among the materials employed, NBCA seemed to offer a better result.
Embolization may serve as the primary therapy for some AVMs in the oral and maxillofacial region, or as a routine preoperative adjunct for patients with severe intraosseous or disfiguring AVMs.
评估栓塞术在口腔颌面部动静脉畸形（AVM）治疗中的价值，并研究几种不同栓塞材料的疗效。
对10例AVM患者进行栓塞治疗，其中5例主要为软组织内AVM，5例为骨内病变。在3至16个月的随访期间分析临床及血管造影效果。
在5例未经其他治疗单纯接受栓塞的患者中，1例栓塞3次，3例栓塞2次，1例栓塞1次。这些病例栓塞后血管造影显示病变完全或几乎完全消失。在另外5例术前栓塞的患者中，术中出血明显减少。所有患者在随访期间均无复发。在所使用的材料中，NBCA似乎效果更佳。
栓塞术可作为某些口腔颌面部AVM的主要治疗方法，或作为严重骨内或毁容性AVM患者的常规术前辅助治疗手段。
