Multifocal arteriovenous malformation of face: A rare entity

Karankot, Gouthami; Arutla, Rashmitha; Rajan, Ritesh; Reddy, Sharath Kumar

doi:10.4103/jiaomr.jiaomr_194_19

Cited by 2 publications

(4 citation statements)

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“…The tumors show more mitotic figures, perineural infiltration, and lymphoid follicles than cavernous types, but less than capillary types. They are only found in 5% of the head and neck region [7].…”

Section: Discussionmentioning

confidence: 99%

Intramuscular Arteriovenous Malformation in Right Masseter With Turkey Wattle Sign

Patil,

C.J.,

Theenathayalan

et al. 2024

Rejr

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urpose. To discuss a rare tumor known as аrteriovenous malformations (AVMs), which is a condition where an artery and a vein are directly connected. The masseter muscle is the commonly affected site, with 5% of cases being reported. This condition can be confirmed through radiological diagnostic methods such as ultrasonography and cone-beam computed tomography.Materials and methods. A clinical case of a 46-year-old female patient who has had swelling in her right cheek region for two years, accompanied by intermittent pain while chewing and enlargement of a mass when lying down on her right side. Orthopantomography was advised to rule out odontogenic origin, followed which CBCT and ultrasonography was advised.Results. Cone-beam computed tomography revealed multiple calcified nodules involving the masseter region measuring roughly 2x2mm in size. US revealed an irregular soft mass in the inferior border of the right masseter muscle measuring roughly 17x9mm with clusters of venous channels noted within it, as well as areas of calcification.Discussion. Arteriovenous malformations (AVMs) are rare tumors that are uncommon in the head and neck region, and less than 1% of vascular tumors are found in muscles, with 15% in the head and neck muscles. Since intramuscular vascular malformations are found deep inside the muscle, it is challenging during physical examination to arrive at the diagnosis.Conclusion. Cone-beam computed tomography and ultrasonography can significantly improve the reliability and accuracy of observers in detecting arteriovenous malformations (AVMs). A multimodal approach to diagnosis is feasible for detecting AVMs.

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Section: Discussionmentioning

confidence: 99%

Intramuscular Arteriovenous Malformation in Right Masseter With Turkey Wattle Sign

Patil,

C.J.,

Theenathayalan

et al. 2024

Rejr

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“…6,12 Because these lesions have a tendency to recur, follow up is recommended for all patients with AVMs. 10,12…”

Section: Discussionmentioning

confidence: 99%

“…Several cases have reported unusual locations, including the face, lips, and eyelids. [10][11][12] Our patient presented with a face AVM specifically located on the right upper eyelid. To our knowledge, only a few cases of eyelid AVMs have been reported to date.…”

Section: Discussionmentioning

confidence: 99%

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Arteriovenous Malformation of the Upper Eyelid: A Case Report

Alsabbagh

Alfaqeeh

Ajlan

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Arteriovenous malformations (AVMs) are rare lesions formed by direct connection of arteries and veins bypassing capillary beds. AVM locations can vary; however, extracranial AVMs remain the least common. The vast majority of these malformations are congenital and can be triggered by hormonal changes. A 49-year-old woman presented with a progressive right-sided upper eyelid swelling over the past 12 years. The patient had mechanical ptosis and mild impairment of the right visual field. The swelling was compressible with a thrill, and bruits were heard. The patient was diagnosed with AVM using cerebral angiography. Preoperative endovascular embolization was not possible; however, surgical excision was successfully done with no complications. AVMs and fistulas are high-flow vascular lesions that usually occur during childhood and progress with time. Only a few cases of face and eyelid AVMs have been reported in the literature. Diagnosis of these anomalies is mostly made based on clinical presentation and radiographic imaging such as angiography. Treatment options remain controversial, and management should be individualized for each patient. Endovascular embolization followed by surgical excision is advisable in many cases. Due to its rare entity, information regarding the best management options for AVMs is limited. Reducing the risk of bleeding and achieving total resection is the goal of treatment. Long-term follow-up is required in these patients because recurrent cases of AVMs have been reported.

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Multifocal arteriovenous malformation of face: A rare entity

Cited by 2 publications

References 0 publications

Intramuscular Arteriovenous Malformation in Right Masseter With Turkey Wattle Sign

Intramuscular Arteriovenous Malformation in Right Masseter With Turkey Wattle Sign

Arteriovenous Malformation of the Upper Eyelid: A Case Report

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