Hunasgi Santosh, Koneru Anila, Vanishree M, Manvikar Vardendra
Department of Oral Pathology, Navodaya Dental College and Hospital, Raichur, Karnataka, India.
J Oral Maxillofac Pathol. 2019 Feb;23(Suppl 1):32-35. doi: 10.4103/jomfp.JOMFP_185_18.
A 35-year-old male patient reported with the chief complaint of a large swelling in the right side of the upper lip. The lesion measured 6.5 cm measuring from the infraorbital region to the lower border of mandible on the right side of the face and 7.5 cm from the right ear lobule to the contralateral commissure of the left side of the face. On palpation, the swelling was soft, fluctuant and compressible. Pulsations were felt, and on auscultation, bruit was also heard. Computed tomography angiogram of the neck and circle of Willis showed serpiginous hyperdense vascular channels causing significant soft-tissue thickening of the upper lip, right cheek region and philtrum. Hence, the diagnosis of diffuse subcutaneous facial arteriovenous malformation involving the right cheek and philtrum was given. The entire lesion was excised. In the postoperative 2 month, secondary cosmetic correction or lip reconstruction was done. The patient was reviewed after 3 years; there was no recurrence of the lesion.
一名35岁男性患者，主要主诉为上唇右侧有一巨大肿物。该病变从面部右侧眶下区域至下颌骨下缘测量为6.5厘米，从右耳垂至左侧面部对侧口角测量为7.5厘米。触诊时，肿物柔软、有波动感且可压缩。可触及搏动，听诊时也可闻及杂音。颈部及Willis环的计算机断层血管造影显示蜿蜒的高密度血管通道，导致上唇、右侧脸颊区域及人中明显软组织增厚。因此，诊断为累及右侧脸颊及人中的弥漫性皮下面部动静脉畸形。整个病变被切除。术后2个月进行了二期美容矫正或唇部重建。3年后对患者进行复查，病变无复发。
