Treatment of a central arteriovenous malformation of the mandible with cyanoacrylate: a 4-year follow-up.
Large arteriovenous malformations of the jaws are relatively rare, potentially life-threatening lesions. When the lesion is not suspected, extraction of teeth can be fatal. The occurrence and treatment of arteriovenous vascular communications in the head and neck region have traditionally presented most perplexing problems. Traditional treatment has usually involved the obtaining of proximal and distal vascular control and surgical removal of the lesions, when feasible. This article presents a case that is of particular interest because it illustrates the successful use of cyanoacrylate as the only treatment for a large arteriovenous malformation of the left side of the mandible. A 4-year follow-up shows no evidence of the lesion and demonstrates complete regeneration of bone in the same area.
Shultz
R E
RE
Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Missouri-Kansas City.
Richardson
D D
DD
Kempf
K K
KK
Pevsner
P H
PH
George
E D
ED
D000293:Adolescent; D000792:Angiography; D001165:Arteriovenous Malformations / Q000628:therapy*; D002015:Bucrylate / Q000627:therapeutic use*; D002404:Catheterization; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008334:Mandible / Q000098:blood supply*
D003487:Cyanoacrylates; D002015:Bucrylate