Embolization as the primary treatment for mandibular arteriovenous malformations: an analysis of 50 literature reports and of an illustrative case

Publication date: Available online 22 February 2018
Source:Journal of Oral and Maxillofacial Surgery
Author(s): João Luiz Gomes Carneiro Monteiro, José Alcides Almeida de Arruda, Jefferson Luiz Figueiredo Leal, Laécio Leitão Batista, Suzana Célia de Aguiar Soares Carneiro, Belmiro Cavalcante do Egito Vasconcelos
PurposeThe aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary treatment and to discuss details such as age, gender, materials used, outcome of embolization, time of follow-up, and intra- or post-procedure complications. An illustrative case in which reossification was noticed following embolization is also presented.Patients and MethodsThe study was carried out in two steps. In the first, an electronic search without time restriction for embolization as the primary treatment for mandibular AVMs was performed on Medline/PubMed. In the second, the case of a patient with mandibular AVM and massive oral bleeding episodes is described after a long-term follow-up.ResultsClinical stability with the cessation of oral bleeding episodes was detected in 25 cases and 2 cases were planned for another embolization session. Clinical stability and reossification were detected in 23 of the 50 cases included. Complications were reported in 50% of cases, but most of them were minor and transient.ConclusionCurrently, due to more sophisticated imaging techniques, the diagnosis of mandibular AVMs is quicker and new, less invasive techniques which avoid surgical resection have proved to be effective. It should be emphasized that these techniques are not without complications and that long-term monitoring is extremely important.



http://ift.tt/2EZPg14