Arteriovenous malformation of the base of tongue: case report and literature review.
Arteriovenous malformations of the head and neck pose a challenging therapeutic and reconstructive problem. In this report we describe a rare case of an arteriovenous malformation of the base of tongue. The patient, a young adult female, was treated with embolization followed by surgical resection using a lateral pharyngotomy approach. Reconstruction of the extensive base of tongue defect was accomplished using a radial forearm free flap. Currently, the patient is decannulated, articulates clearly, tolerates a normal diet, and is without recurrence. Our treatment approach is discussed in detail and compared with alternative techniques.
Righi
P D
PD
Department of Otolaryngology and Head and Neck Surgery, Indiana University Medical Center, Indianapolis 46202, USA.
Bade
M A
MA
Coleman
J J
JJ
Allen
M
M
D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008866:Microsurgery; D011183:Postoperative Complications / Q000175:diagnosis; D013524:Surgical Flaps; D014059:Tongue / Q000098:blood supply*