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[Intraosseous arteriovenous malformations].

A-C Collin1, L Viremouneix, L Guibaud

  • 1Service de chirurgie maxillofaciale, centre hospitalier Lyon-Sud, 69310 Pierre-Bénite, France.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 19, 2010
PubMed
Summary
This summary is machine-generated.

Intraosseous arteriovenous maxillomandibular malformations are rare vascular anomalies. Direct or transarterial embolization is the preferred treatment, with surgery reserved for treatment failures.

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Area of Science:

  • Vascular Surgery
  • Oral and Maxillofacial Surgery
  • Pediatric Radiology

Context:

  • Intraosseous arteriovenous malformations (AVMs) of the maxillomandibular complex are uncommon.
  • Diagnosis relies on clinical presentation and advanced imaging like CT and MRI.
  • Arteriography is reserved for therapeutic planning.

Purpose:

  • To outline the diagnosis, natural history, and optimal management of intraosseous maxillomandibular arteriovenous malformations.
  • To emphasize current treatment recommendations and discourage outdated therapies.

Summary:

  • Clinical diagnosis involves pulsatile osseous swelling and bleeding; imaging confirms findings.
  • These malformations exhibit variable progression influenced by hormonal changes or trauma.
  • Recommended treatments include embolization, with surgical resection for refractory cases. Radiotherapy and vascular ligatures are contraindicated.

Impact:

  • Establishes embolization as the gold standard for treating these rare AVMs.
  • Discourages ineffective and potentially harmful treatments like radiotherapy.
  • Provides a framework for managing complex maxillomandibular vascular lesions, improving patient outcomes.