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下颌骨动静脉畸形的骨内切除术:保留下颌骨的多学科病例系列

Intraosseous resection of mandibular arteriovenous malformations: A mandible sparing multi-disciplinary case series.

作者信息

Ferguson Kaley, Wong Kevin, DeHart Austin N, Richter Gresham

机构信息

University of Arkansas for Medical Sciences College of Medicine, 4301 W. Markham Street, Little Rock, AR, 72205, USA.

University of Arkansas for Medical Sciences College of Medicine, 4301 W. Markham Street, Little Rock, AR, 72205, USA; Arkansas Children's Hospital, 1 Children's Way, Little Rock, AR, 72202, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2023 Apr;167:111458. doi: 10.1016/j.ijporl.2023.111458. Epub 2023 Jan 20.

Abstract

Mandibular arteriovenous malformations (AVMs) are high flow vascular malformations that can cause pain, hypertrophy, deformity, malocclusion, jaw asymmetry, bone destruction, tooth loss, and severe bleeding [1]. Although general principles apply, the rarity of mandibular AVMs limits definitive agreement on the best course of treatment. Current treatment options include embolization, sclerotherapy, surgical resection, or some combination of techniques [2]. [3]. An alternative multidisciplinary technique of embolization with mandibular-sparing resection is presented. This technique aims to mitigate bleeding with effective removal of the AVM, while preserving mandibular form, function, dentition, and occlusion.

摘要

下颌动静脉畸形(AVM)是高流量血管畸形,可导致疼痛、肥大、畸形、咬合不正、颌骨不对称、骨质破坏、牙齿脱落和严重出血[1]。尽管一般原则适用,但下颌AVM的罕见性限制了对于最佳治疗方案达成明确共识。目前的治疗选择包括栓塞、硬化疗法、手术切除或某些技术的联合应用[2][3]。本文介绍一种保留下颌骨切除的栓塞多学科替代技术。该技术旨在通过有效切除AVM来减轻出血,同时保留下颌骨的形态、功能、牙列和咬合。

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