Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review

Background: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents. Me...

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Main Authors: Nadia Theologie-Lygidakis, Ourania Schoinohoriti, Fotios Tzermpos, Panos Christopoulos, Ioannis Iatrou
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2015-06-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2015/2/e5/v6n2e5ht.htm
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author Nadia Theologie-Lygidakis
Ourania Schoinohoriti
Fotios Tzermpos
Panos Christopoulos
Ioannis Iatrou
author_facet Nadia Theologie-Lygidakis
Ourania Schoinohoriti
Fotios Tzermpos
Panos Christopoulos
Ioannis Iatrou
author_sort Nadia Theologie-Lygidakis
collection DOAJ
description Background: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents. Methods: A retrospective study (from 2009 to 2014) was performed to investigate the features and management of the intraosseous vascular anomalies in a Greek paediatric population. Results: Six patients aged between 6 and 14 years were treated for intraosseous vascular malformations (4 venous and 2 arteriovenous) of the jaws. Five lesions were located in the mandible and one in the maxilla. In four lesions with pronounced vascularity superselective angiography, followed by embolization was performed. Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients. Conclusions: The intraosseous vascular malformations of the jaws may escape diagnosis in paediatric patients. A multidisciplinary approach is important for their safe and efficient treatment. Embolization is recommended for extended high-flow lesions, either preoperatively or as a first-line treatment, when surgery is not feasible without significant morbidity.
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publisher Lithuanian University of Health Sciences, Faculty of Odontology
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series eJournal of Oral Maxillofacial Research
spelling doaj-art-bb02d9fcfef340e29c2db282804837002025-08-20T03:57:44ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2015-06-0162e510.5037/jomr.2015.6205Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature ReviewNadia Theologie-LygidakisOurania SchoinohoritiFotios TzermposPanos ChristopoulosIoannis IatrouBackground: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents. Methods: A retrospective study (from 2009 to 2014) was performed to investigate the features and management of the intraosseous vascular anomalies in a Greek paediatric population. Results: Six patients aged between 6 and 14 years were treated for intraosseous vascular malformations (4 venous and 2 arteriovenous) of the jaws. Five lesions were located in the mandible and one in the maxilla. In four lesions with pronounced vascularity superselective angiography, followed by embolization was performed. Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients. Conclusions: The intraosseous vascular malformations of the jaws may escape diagnosis in paediatric patients. A multidisciplinary approach is important for their safe and efficient treatment. Embolization is recommended for extended high-flow lesions, either preoperatively or as a first-line treatment, when surgery is not feasible without significant morbidity.http://www.ejomr.org/JOMR/archives/2015/2/e5/v6n2e5ht.htmadolescentbones and bonechildrenembolization therapeutichumansvascular malformations
spellingShingle Nadia Theologie-Lygidakis
Ourania Schoinohoriti
Fotios Tzermpos
Panos Christopoulos
Ioannis Iatrou
Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
eJournal of Oral Maxillofacial Research
adolescent
bones and bone
children
embolization therapeutic
humans
vascular malformations
title Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
title_full Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
title_fullStr Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
title_full_unstemmed Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
title_short Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review
title_sort management of intraosseous vascular malformations of the jaws in children and adolescents report of 6 cases and literature review
topic adolescent
bones and bone
children
embolization therapeutic
humans
vascular malformations
url http://www.ejomr.org/JOMR/archives/2015/2/e5/v6n2e5ht.htm
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