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面部动静脉畸形的超选择性栓塞及手术切除

Super-selective Embolisation and Surgical Excision of the Facial Arteriovenous Malformation.

作者信息

Chaulagain Ramsundar, Chug Ashi, Simre Saurabh, Pandey Sameer, Shrestha Sudarshan

机构信息

Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2024 Mar 30;16(3):e57240. doi: 10.7759/cureus.57240. eCollection 2024 Mar.

Abstract

Vascular anomalies broadly include vascular tumours and malformations. Arteriovenous malformations (AVM), though rare in the oral and maxillofacial regions, can present with swelling, facial asymmetry, ulceration, and bleeding tendencies, which can be life-threatening. Thus, to minimise the associated life-threatening consequences, prompt and appropriate diagnosis of the lesion is necessitated. The management of the AVM is a therapeutic challenge for maxillofacial surgeons; however, technological advances in interventional radiology have gained a foothold. Super-selective embolisation of the feeder vessels with subsequent resection of the lesion is the most widely accepted approach for management. The present report describes a unique case of a facial AVM managed through a trans-oral approach without any post-operative sequelae.

摘要

血管异常广义上包括血管肿瘤和血管畸形。动静脉畸形(AVM)在口腔颌面部区域虽罕见,但可表现为肿胀、面部不对称、溃疡和出血倾向,这些可能危及生命。因此,为将相关的危及生命后果降至最低,必须对病变进行及时、恰当的诊断。AVM的治疗对颌面外科医生而言是一项治疗挑战;然而,介入放射学的技术进步已站稳脚跟。对供血血管进行超选择性栓塞并随后切除病变是最广泛接受的治疗方法。本报告描述了一例通过经口入路治疗的面部AVM独特病例,且无任何术后后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a8a/11056801/7f402b416c45/cureus-0016-00000057240-i01.jpg

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