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Updated: Apr 15, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Arterio venous malformation of the face: surgical treatment
Ruchika Tiwari1, Vikas K Singh2
1Department of Oral and Maxillofacial Surgery, Nims Dental College, Jaipur, 303121 Rajasthan India ; B-206, #503, Shyam Heavans, Rajendar Marg, Bapu Nagar, Jaipur, 302015 Rajasthan India.
Objective:
This article reports a case of arteriovenous malformation of the face and upper lip. It discusses the diagnostic aids, surgical treatment and the results obtained.
Methods:
A vascular malformation with Arterio venous shunts of the left cheek and upper lip was treated by surgical excision in a young 26 year old patient. Ligation of the feeding vessels followed by surgical excision has been discussed. The lesion was approached through modified Weber Fergusson incision with extension into contralateral lip.
Follow Up:
Secondary cosmetic correction was done two months postoperatively. In a one year, there was no recurrence of the arteriovenous malformation with acceptable cosmetic results.
Conclusions:
A combined treatment including ligation of feeding vessels and surgical excision has been effective and safe in this patient. It was done due to cost factors, and inavailability of embolization facilities.The location and extent of a vascular malformation should dictate the preoperative investigations, surgical procedure and subsequent outcome.
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