Cariati Paolo, Marín-Fernández Ana-Belén, Julia-Martínez Miguel-Ángel, Pérez-de Perceval-Tara Miguel, Sánchez-López Darío, Martínez-Lara Ildefonso
Maxillofacial Surgery Resident. Oral and Maxillofacial Surgery Department, Hospital Virgen de las Nieves, Granada, Spainn.
Maxillofacial Surgeon. Oral and Maxillofacial Surgery Department, Hospital Virgen de las Nieves, Granada, Spain.
J Clin Exp Dent. 2018 Feb 1;10(2):e189-e191. doi: 10.4317/jced.54550. eCollection 2018 Feb.
The modern application of interventional radiology techniques is revolutionizing the treatment of the vascular malformations of the head and neck. In fact, the morbidity related with the surgical extirpation of the malformation might be drastically reduced with the use of an endovascular approach. The present report describes the case of a 11 years old male affected by a large intraosseous arteriovenous malformation of the mandible. The coil embolization of the main drainage vein caused the spontaneous regression of the lesion and avoided a mutilating surgery and severe psychological sequels. A multidisciplinary approach of these case is mandatory. A careful clinical and radiological study of the patient is essential for a proper management. The choice of the treatment should be based on the location and extension of the malformation, age of the patient, experience with endovascular techniques and clinic. Endovacualr approach, intraosseous arteriovenous malformation, head and neck, child.
介入放射学技术的现代应用正在彻底改变头颈部血管畸形的治疗方式。事实上，采用血管内治疗方法可大幅降低与畸形手术切除相关的发病率。本报告描述了一名11岁男性下颌骨大型骨内动静脉畸形患者的病例。对主要引流静脉进行弹簧圈栓塞导致病变自然消退，避免了致残性手术和严重的心理后遗症。对这类病例采用多学科方法是必不可少的。对患者进行仔细的临床和放射学研究对于正确的治疗管理至关重要。治疗方法的选择应基于畸形的位置和范围、患者年龄、血管内技术经验和临床情况。血管内治疗方法、骨内动静脉畸形、头颈部、儿童
