Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up
Intraosseous arteriovenous malformations (AVMs) in the head and neck region are uncommon. There are several types and they can have a wide range of clinical presentations. Depending on the blood flow through the AVM, the treatment may be challenging for the attending team and may lead to life-threat...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2015/745718 |
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| author | Elvira Ferrés-Amat Jordi Prats-Armengol Isabel Maura-Solivellas Eduard Ferrés-Amat Javier Mareque-Bueno Eduard Ferrés-Padró |
| author_facet | Elvira Ferrés-Amat Jordi Prats-Armengol Isabel Maura-Solivellas Eduard Ferrés-Amat Javier Mareque-Bueno Eduard Ferrés-Padró |
| author_sort | Elvira Ferrés-Amat |
| collection | DOAJ |
| description | Intraosseous arteriovenous malformations (AVMs) in the head and neck region are uncommon. There are several types and they can have a wide range of clinical presentations. Depending on the blood flow through the AVM, the treatment may be challenging for the attending team and may lead to life-threatening hemorrhages. A clinical case report is presented. A 9-year-old girl, seen for gingival bleeding during oral hygiene, was found to have a high-flow AVM located within and around the mandible. Two-stage treatment consisted of intra-arterial embolization followed by intraoral injection of a sclerosing agent 8 weeks later. At the 8-year follow-up, imaging study showed no evidence of recurrent lesion inside or outside the bone. The final outcome is a correct occlusion with a symmetric facial result. This case shows that conservative treatment may be the first treatment option mostly in children. Arteriography and transcortical injection were enough to control the AVM. |
| format | Article |
| id | doaj-art-6ea4ac0f08cf4ad9856b5fa988cec183 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-6ea4ac0f08cf4ad9856b5fa988cec1832025-08-20T03:34:08ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/745718745718Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-UpElvira Ferrés-Amat0Jordi Prats-Armengol1Isabel Maura-Solivellas2Eduard Ferrés-Amat3Javier Mareque-Bueno4Eduard Ferrés-Padró5Service of Oral and Maxillofacial Surgery, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainService of Oral and Maxillofacial Surgery, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainService of Pediatric Dentistry, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainService of Oral and Maxillofacial Surgery, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainService of Oral and Maxillofacial Surgery, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainService of Oral and Maxillofacial Surgery, Fundació Hospital de Nens de Barcelona, Consell de Cent 437, 08009 Barcelona, SpainIntraosseous arteriovenous malformations (AVMs) in the head and neck region are uncommon. There are several types and they can have a wide range of clinical presentations. Depending on the blood flow through the AVM, the treatment may be challenging for the attending team and may lead to life-threatening hemorrhages. A clinical case report is presented. A 9-year-old girl, seen for gingival bleeding during oral hygiene, was found to have a high-flow AVM located within and around the mandible. Two-stage treatment consisted of intra-arterial embolization followed by intraoral injection of a sclerosing agent 8 weeks later. At the 8-year follow-up, imaging study showed no evidence of recurrent lesion inside or outside the bone. The final outcome is a correct occlusion with a symmetric facial result. This case shows that conservative treatment may be the first treatment option mostly in children. Arteriography and transcortical injection were enough to control the AVM.http://dx.doi.org/10.1155/2015/745718 |
| spellingShingle | Elvira Ferrés-Amat Jordi Prats-Armengol Isabel Maura-Solivellas Eduard Ferrés-Amat Javier Mareque-Bueno Eduard Ferrés-Padró Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up Case Reports in Pediatrics |
| title | Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up |
| title_full | Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up |
| title_fullStr | Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up |
| title_full_unstemmed | Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up |
| title_short | Gingival Bleeding of a High-Flow Mandibular Arteriovenous Malformation in a Child with 8-Year Follow-Up |
| title_sort | gingival bleeding of a high flow mandibular arteriovenous malformation in a child with 8 year follow up |
| url | http://dx.doi.org/10.1155/2015/745718 |
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