Hardt N
SSO Schweiz Monatsschr Zahnheilkd. 1979 Jan;89(1):31-9.
Congenital arteriovenous angiomas are seldom observed in the maxillofacial region. Because of their hemodynamic-active Shunt volumina, they tend towards progressive and difforming increase in volume. Clinical differentiation from other angiodysplasias is obtained by serial angiography. Therapy in the facial region consists of either a direct and mostly subtotal interruption of the short circuit by embolization of the AV shunts and selective ligature of the hemodynamically important vessels, or in a total removal of the involved region by extensive plastic-reconstructive measures. The latter particularly applies to hemodynamic shunt volumina with general cardiovascular feedback, grave recidivating bleeding, important defiguration and recidives after selective ligature operation.
先天性动静脉血管瘤在颌面区域很少见。由于其具有血流动力学活性的分流容量,它们往往会进行性增大并导致形态改变。通过连续血管造影可实现与其他血管发育异常的临床鉴别。面部区域的治疗方法包括通过栓塞动静脉分流和选择性结扎血流动力学重要血管直接且大多为次全地中断短路,或者通过广泛的整形重建措施完全切除受累区域。后者尤其适用于伴有全身心血管反馈、严重复发性出血、严重畸形以及选择性结扎手术后复发的血流动力学分流容量情况。