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下颌骨动静脉畸形:一例报告及鉴别诊断要点

Arteriovenous malformation of the mandible: report of a case with a note on the differential diagnosis.

作者信息

Mohammadi H, Said-al-Naief N A, Heffez L B

机构信息

University of Illinois at Chicago, College of Dentistry, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Sep;84(3):286-9. doi: 10.1016/s1079-2104(97)90344-9.

Abstract

Arteriovenous malformations are extremely rare conditions that can result from congenital or acquired abnormalities in the structure of blood vessels; they are potentially fatal. Arteriovenous malformations may be asymptomatic or may show various signs and symptoms including soft tissue swelling, pain, changes in skin and mucosal color, erythematous and bleeding gingiva, bruit, and paresthesia. Radiographically, there are no pathognomonic features. The present case illustrates an arteriovenous malformation in a 16-year-old Hispanic female. The case report is unique because the malformation was previously interpreted as a pathosis of pulpal origin and was initially treated as such, although the tooth showed no gross or radiographic dental caries. A broad view of the diagnostic imaging, radiographic differential diagnosis, treatment, and histopathologic description is also presented.

摘要

动静脉畸形是极为罕见的病症,可由血管结构的先天性或后天性异常引起;它们有潜在的致命性。动静脉畸形可能无症状,也可能表现出各种体征和症状,包括软组织肿胀、疼痛、皮肤和黏膜颜色改变、牙龈红斑和出血、杂音以及感觉异常。在影像学上,没有特征性表现。本病例展示了一名16岁西班牙裔女性的动静脉畸形。该病例报告很独特,因为该畸形先前被解释为牙髓源性病变并最初按此进行治疗,尽管该牙齿未显示明显的龋损或影像学上的龋齿表现。本文还对诊断性影像学、影像学鉴别诊断、治疗及组织病理学描述进行了全面阐述。

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