[Therapeutic principles in angioma of the mandible: applications in relation to a clinical observation (author's transl)].
When confronted with a case of angioma of the mandible, treatment should be directed towards two main areas:--to stop blood loss. Ligature of the external carotid can be life-saving, but it does not prevent the formation of nearby anastomotic vessels which refill, more or less rapidly, the external carotid axis. Ligature make embolization impossible by femoral way. A by-pass operation to improve permeability is also dangerous if not impossible. Ligature should be reserved only for those cases in which there is an immediate threat to life. On the contrary, embolization is necessary before surgery. --to treat the angioma. As radiotherapy is not effective or is dangerous, surgical treatment is necessary; either by a conservative operation or by radical resection. All these facts are illustrated dramatically by the case reported.
D000328:Adult; D000792:Angiography; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006392:Hemangioma, Cavernous / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008339:Mandibular Neoplasms / Q000098:blood supply / Q000601:surgery*; D008341:Mandibular Prosthesis; D009364:Neoplasm Recurrence, Local; D010347:Patient Care Planning; D011183:Postoperative Complications
Attitude thérapeutique face à un angiome mandibulaire. Réflexions à propos d'un cas clinique.