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Huge arteriovenous malformation in masseter muscle
Emin Karaman1, Hasan Mercan, Alper Ozdilek
1Department of Otolaryngology, Head and Neck Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|July 24, 2009
Summary
Arteriovenous malformation (AVM) in the masseter muscle is rare. This case report details a successful embolization and surgical excision of a masseter muscle AVM, offering insights into diagnosis and treatment.
Area of Science:
- Vascular Surgery
- Head and Neck Oncology
- Radiology
Background:
- Arteriovenous malformations (AVMs) are rare vascular tumors characterized by abnormal direct connections between arteries and veins.
- Intracranial AVMs are common, but intramuscular AVMs in the head and neck are infrequent, with masseter muscle involvement being the most prevalent site.
Observation:
- A 36-year-old patient presented with a 1.5-year history of progressive right cheek pain and a growing mass.
- Diagnostic evaluation confirmed an arteriovenous malformation within the masseter muscle.
Findings:
- The patient underwent successful preoperative embolization followed by complete surgical excision of the masseter muscle AVM.
- This case highlights the diagnostic and therapeutic approaches for this rare condition.
Implications:
- Early diagnosis and appropriate management, including embolization and surgical resection, are crucial for treating masseter muscle AVMs.
- This case contributes to understanding the clinical presentation and successful treatment strategies for rare head and neck vascular tumors.

