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AV Malformation Within Buccinator Muscle-A Unique Finding.

Darshan Rajput1, Chenchulakshmi Vasudevan1,2,3,4, Chaitrali Sant1,2,3,4

  • 1Department of Plastic and Reconstructive Surgery, Jawaharlal Nehru Medical College, KAHER University, Belagavi, Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|February 6, 2023
PubMed
Summary
This summary is machine-generated.

Arteriovenous malformations (AVMs) are rare in the head and neck, with this case detailing a recurrent buccinator muscle AVM. Treatment involved compartmentalization, sclerotherapy, and surgical excision for this rare condition.

Keywords:
AV malformationBuccinator muscleCase reportCompartmentalizationSclerotherapy

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Area of Science:

  • Vascular Surgery
  • Head and Neck Surgery
  • Interventional Radiology

Background:

  • Arteriovenous malformations (AVMs) are vascular anomalies characterized by abnormal connections between arteries and veins.
  • While commonly found in the brain, AVMs in the head and neck region are rare, affecting approximately 0.1% of the general population.
  • Standard management options for AVMs include surgical excision, embolization, and sclerotherapy.

Purpose of the Study:

  • To present a case of a recurrent arteriovenous malformation within the buccinator muscle.
  • To describe the management strategy employed for this rare presentation of head and neck AVM.
  • To highlight the effectiveness of a combined treatment approach for complex buccinator muscle AVMs.

Main Methods:

  • A case study of an 18-year-old female with a recurrent AVM in the buccinator muscle.
  • Treatment involved initial compartmentalization to isolate the malformation.
  • Subsequent treatment included sclerotherapy followed by surgical excision of the AVM.

Main Results:

  • The patient presented with a recurrent arteriovenous malformation in the buccinator muscle.
  • The applied treatment strategy of compartmentalization, sclerotherapy, and surgical excision was successful in managing the recurrent AVM.
  • This case demonstrates a viable therapeutic option for rare head and neck AVMs.

Conclusions:

  • Recurrent arteriovenous malformations in the head and neck, specifically within the buccinator muscle, require tailored treatment approaches.
  • A multi-modal strategy combining compartmentalization, sclerotherapy, and surgical excision can effectively manage complex and recurrent AVMs in this region.
  • Further research into the optimal management of rare head and neck vascular malformations is warranted.