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Mandibular vascular malformations: treatment and long-term results
A M Sadove1, B L Eppley, K Gossweiler
1Department of Plastic and Reconstructive Surgery, Indiana University Medical Center, Indianapolis.
The Journal of Craniofacial Surgery
|November 1, 1994
Summary
Aggressive surgical resection of intraosseous vascular anomalies in the mandible led to symptom resolution and facial symmetry restoration. This treatment also promoted significant bone regeneration without the need for grafting.
Area of Science:
- Oral and Maxillofacial Surgery
- Vascular Anomalies
- Regenerative Medicine
Background:
- Intraosseous vascular anomalies of the mandible are rare but can cause significant morbidity.
- Management often involves complex surgical interventions with potential for complications.
- Long-term outcomes and regenerative potential following treatment require further investigation.
Observation:
- Two cases of intraosseous vascular anomalies of the mandible were treated.
- Surgical intervention involved early aggressive resection.
- A 10-year follow-up was conducted for both cases.
Findings:
- Early aggressive resection successfully resolved symptoms and restored facial symmetry.
- Significant osseous regeneration occurred at the surgical site without the need for bone grafting.
- The 10-year follow-up confirmed sustained positive outcomes.
Implications:
- Early aggressive resection is a viable and effective treatment for mandibular intraosseous vascular anomalies.
- The mandible possesses a notable capacity for spontaneous osseous regeneration post-resection.
- These findings support conservative surgical approaches and highlight the potential for bone healing in the mandible.