Localization and treatment of lingual venous and arteriovenous malformations

Wiegand, Susanne; Tiburtius, Janna; Zimmermann, Annette P.; Güldner, Christian; Eivazi, Behfar; Werner, Jochen A.

doi:10.1177/1358863x14521316

Cited by 10 publications

(3 citation statements)

References 11 publications

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“…Arteriovenous malformations (AVM) are high‐flow lesions characterized by the presence of a nidus and a central mass of a low‐resistance arteriovenous shunts which are connected to afferent arteries and efferent veins. Individuals with intraoral AVM can present with chewing and swallowing difficulties, speech problems and develop orthodontic abnormalities . Intraoral AVM bleeding can cause life‐threatening airway obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Two patients had undergone primary reconstruction of the jaw with osteocutaneous Table 1. In decreasing order of prevalence, oral vascular lesions included port-wine stain (7), hereditary hemorrhagic telangiectasia (6), infantile hemangioma (3), arteriovenous malformation (2), venous malformation (2), venous lake (2), and pyogenic granuloma (1). In addition, three cases of intraoral hair removal were included in this study.…”

Section: Intraoral Hairmentioning

confidence: 99%

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Laser applications for benign oral lesions

Frigerio

Tan

2015

Lasers Surg Med

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Lasers are a safe and effective means to selectively destroy specific chromphores. Such specific targeting ensures complete destruction of pathological tissue, decreasing the possibility of relapse and/or recurrence. Selective laser treatment of benign intraoral lesions represents a niche application that fills a gap in the multidisciplinary management of several conditions such as oral vascular anomalies and hairy reconstructive flaps.

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Section: Discussionmentioning

confidence: 99%

Section: Intraoral Hairmentioning

confidence: 99%

Laser applications for benign oral lesions

Frigerio

Tan

2015

Lasers Surg Med

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“…Uncontrollable epistaxis causing death of the patient due to AVM of geniomassetric muscle has been reported by Cotulbea et al, [8]. AVM in tongue can not only cause haemorrhage and airway obstruction, but also difficulty in chewing and swallowing, speech problems as well as orthodontic abnormalities [9]. Visual defects can also be one of the complications of AVM in head and neck region.…”

Section: Discussionmentioning

confidence: 99%

An Infiltrative Angioarchitectural Variant of Arteriovenous Malformation of Temporalis

Byatnal

Rakheja

Byatnal

et al. 2014

JCDR

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A 19-year-old male reported with a complaint of swelling on the right upper part of the face. The patient noticed it about six months back, which gradually increased in size causing change in his facial profile. There was no associated pain or discomfort, weakness of the facial muscles, abnormal temporomandiblar joint movements, and history of headache or trauma. Also, the patient did not provide any previous medical or any drug history for the same. Examination of the swelling revealed a diffuse enlargement over the right temporal region measuring about 5x4 cm, with no noticeable change in the colour of the skin. On palpation, the swelling was soft, noncompressible, non-tender, distinctly warm and pulsatile. Bruit could be appreciated by auscultation. A provisional diagnosis of vascular malformation was considered.The magnetic resonance image (MRI) revealed a T1W hypointense and T2W mixed intensity lesion involving right temporalis and dentistry section masseter muscles extending from temporal fossa to the infra temporal fossa with flow voids measuring 6.37x4.40x2.81 cms [Table/ Fig-1a]. The neck angiogram showed an evidence of intralesional flow voids supplied by the right ascending pharyngeal branch of external carotid artery and drained by external jugular vein, with cystic spaces [Table/ Fig-1b]. A diagnosis of combined AVM with cavernous angioma of the right temporalis and masseter was made.Complete surgical excision under carotid control via preauricular approach was carried out under general anaesthesia. The entire lesion was found to be located inside the temporalis muscle [Table/ Fig-2]. Elective access osteotomy of the zygomatic arch was done in order to excise the lesion. The surgically excised specimen on gross examination measured about 4x2x1.5cm in dimension, creamish in colour, with an irregular surface [Table/ Fig-3], and firm in consistency with the cut surface showing a few pigmented areas. An Infiltrative Angioarchitectural Variant of Arteriovenous Malformation of Temporalis aBstRaCtVascular anomalies of the head and neck region pose a certain diagnostic and therapeutic paradox. Management of arteriovenous malformations (AVM) is a challenge owing to the presence of abnormal vascular communications and high recurrence. We report a case of a 19-year-old male patient, who presented with diffuse swelling in the right temporal region. Magnetic Resonance Angiography (MRA) suggested it to be an AVM in the temporalis muscle, having afferents in the ascending pharyngeal artery, with cavernous angioma. Surgical excision of the lesion was carried out under carotid control. Histopathology of the excised specimen utilizing special stains confirmed the presence of AVM. An absence of distinct nidus concomitant along with the exuberant proliferation of capillaries between the muscle fibres suggested it be an infiltrative angioarchitectural variant. The present case highlights significance of diagnosing AVM in temporalis muscle which is a rare occurrence in head and neck region. Also, the importance of ruling...

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Understanding venous malformations of the head and neck: a comprehensive insight

Colletti

Ierardi

2017

Med Oncol

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Venous malformations (VMs) are congenital vascular malformations. They are very often misnamed and thus incorrectly managed. The aim of the present paper is to provide the reader with the most updated literature available and to offer a detailed description of each single aspect of this disease. In detail, the paper discusses the epidemiology, the embryological origins and the physiopathology of VMs. Then, the clinical features of sporadic, inherited and syndromic VMs are discussed. The instrumental diagnosis is presented, and the role of US, CT, MRI and phlebography is pointed out. Differential diagnoses with other vascular malformations and tumors are described. The clinical session ends with the staging of VMs relying on MRI and rheological features. All aspects of treatment are described: conservative measures, medical treatment, sclerotherapy, laser and surgery are thoroughly discussed. A section is reserved to bony VMs. Their clinical aspects and the appropriate treatment are presented.

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Localization and treatment of lingual venous and arteriovenous malformations

Cited by 10 publications

References 11 publications

Laser applications for benign oral lesions

Laser applications for benign oral lesions

An Infiltrative Angioarchitectural Variant of Arteriovenous Malformation of Temporalis

Understanding venous malformations of the head and neck: a comprehensive insight

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