Nagarajan K, Prasanth P, Elango S
1Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.
2Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):696-701. doi: 10.1007/s12070-018-1504-3. Epub 2018 Sep 29.
Arteriovenous malformations (AVMs) involving the tongue are uncommon lesions in the head and neck region. They present with bleeding that can be massive and life-threatening apart from debilitating symptoms of pain, ulcers, difficulty in phonation or swallowing. Various therapeutic approaches have been used in their management-surgery, endovascular embolization, radiation and ablation procedures like laser ablation. We report two patients-a 34 year-old man and 56 year-old female who presented with massive bleeding due to lingual AVM and had comorbidities as liver cirrhosis and chronic medical renal disease respectively, and treated with glue embolization, with a review of the literature.
累及舌头的动静脉畸形(AVM)是头颈部区域少见的病变。除了疼痛、溃疡、发声或吞咽困难等使人衰弱的症状外,它们还会出现大量出血,这可能是大量的且危及生命。在其治疗中已使用了各种治疗方法——手术、血管内栓塞、放射治疗以及激光消融等消融手术。我们报告了两名患者——一名34岁男性和一名56岁女性,他们分别因舌部AVM出现大量出血,并且分别患有肝硬化和慢性肾病等合并症,均接受了胶水栓塞治疗,并对相关文献进行了综述。