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下唇动静脉畸形的口腔内切除术

Intraoral excision of arteriovenous malformation of lower lip.

作者信息

Taskin Umit, Yigit Ozgur, Sunter Volkan A, Albayram Sait M

机构信息

Department of Otorhinolaryngology, Istanbul Education and Research Hospital, Istanbul, Turkey.

出版信息

J Craniofac Surg. 2010 Jan;21(1):268-70. doi: 10.1097/SCS.0b013e3181c5a617.

Abstract

Vascular malformations can be categorized into low-flow lesions and high-flow lesions according to blood flow volume. Arterial lesions such as arteriovenous malformations (AVMs) are generally high-flow lesions. Arteriovenous malformations are high-flow vascular anomalies consisting of a nidus or a network of abnormal vascular channels between feeding arteries and draining veins. Arteriovenous malformations become destructive progressively by compression or erosion of surrounding tissue by itself. Angiography is the most important diagnostic technique for determination of location and flow characteristics of vascular lesions. Embolization is used preoperatively to decrease the size of AVM and reduce the extent of surgical excision. The modern treatment of AVM requires multidisciplinary study between the surgeon and vascular radiologist. We reported an early diagnosed AVM at the lower lip, and it was resected totally intraorally without any complication and morbidity.

摘要

血管畸形可根据血流量分为低流量病变和高流量病变。诸如动静脉畸形(AVM)之类的动脉病变通常是高流量病变。动静脉畸形是由供血动脉和引流静脉之间的病灶或异常血管通道网络组成的高流量血管异常。动静脉畸形通过自身对周围组织的压迫或侵蚀而逐渐具有破坏性。血管造影是确定血管病变位置和血流特征的最重要诊断技术。栓塞术在术前用于减小动静脉畸形的大小并减少手术切除范围。动静脉畸形的现代治疗需要外科医生和血管放射科医生之间进行多学科研究。我们报告了一例下唇早期诊断的动静脉畸形,经口内完全切除,无任何并发症和发病率。

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