Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction

Introduction. Intraosseous vascular malformation could be life-threatening due to uncontrolled hemorrhage after tooth extraction. According to biological behavior of this lesion, adequate diagnostic and treatment strategies are necessary in order to avoid possible complications. We reported cone bea...

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Main Authors: Nikolić Živorad S., Jelovac Drago B., Šabani Melvil, Jeremić Jelena V., Boričić Ivan
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2017-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600225N.pdf
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author Nikolić Živorad S.
Jelovac Drago B.
Šabani Melvil
Jeremić Jelena V.
Boričić Ivan
author_facet Nikolić Živorad S.
Jelovac Drago B.
Šabani Melvil
Jeremić Jelena V.
Boričić Ivan
author_sort Nikolić Živorad S.
collection DOAJ
description Introduction. Intraosseous vascular malformation could be life-threatening due to uncontrolled hemorrhage after tooth extraction. According to biological behavior of this lesion, adequate diagnostic and treatment strategies are necessary in order to avoid possible complications. We reported cone beam computed tomography (CBCT) planning of an urgent en bloc resection of an intraosseous venous malformation by piezoelectric knife. Case report. A 55-year-old man was submitted to CBCT planning followed by piezoelectric knife resection of an intraosseous focal venous malformation of the mandibular body. Immediate reconstruction of the defect using iliac bone free graft was performed. The surgical treatment was uneventful and a 2-year follow-up revealed no signs of recurrence. Conclusion. Piezoelectric knife could provide precise, safe and bloodless procedure which is especially important in this pathology. Advantages of this technique are: lower risk of damaging soft tissue structures, precise osteotomy and bloodless surgery. Moreover, using piezosurgery bone knife, blood transfusion and blood transmitted diseases could be avoided. This case highlights the importance of CBCT as planning tool for resection of the mandible, using piezoelectric knife as safe method to achieve bloodless surgery. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175075]
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spelling doaj-art-e1e4c7df8241484a819647a8a0ba8f4b2025-08-20T03:20:58ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202017-01-0174548348810.2298/VSP150616225N0042-84501600225NIntraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstructionNikolić Živorad S.0Jelovac Drago B.1Šabani Melvil2Jeremić Jelena V.3Boričić Ivan4University of Business Academy, Faculty of Dentistry, PančevoClinic for Maxillofacial Surgery, Faculty of Dental Medicine, BelgradeClinic for Maxillofacial Surgery, Faculty of Dental Medicine, BelgradeClinical Center of Serbia, Faculty of Medicine, Clinic for Burns, Plastic and Reconstructive Surgery, BelgradeClinical Center of Serbia, Faculty of Medicine, Institute for Pathology, Faculty of Medicine, BelgradeIntroduction. Intraosseous vascular malformation could be life-threatening due to uncontrolled hemorrhage after tooth extraction. According to biological behavior of this lesion, adequate diagnostic and treatment strategies are necessary in order to avoid possible complications. We reported cone beam computed tomography (CBCT) planning of an urgent en bloc resection of an intraosseous venous malformation by piezoelectric knife. Case report. A 55-year-old man was submitted to CBCT planning followed by piezoelectric knife resection of an intraosseous focal venous malformation of the mandibular body. Immediate reconstruction of the defect using iliac bone free graft was performed. The surgical treatment was uneventful and a 2-year follow-up revealed no signs of recurrence. Conclusion. Piezoelectric knife could provide precise, safe and bloodless procedure which is especially important in this pathology. Advantages of this technique are: lower risk of damaging soft tissue structures, precise osteotomy and bloodless surgery. Moreover, using piezosurgery bone knife, blood transfusion and blood transmitted diseases could be avoided. This case highlights the importance of CBCT as planning tool for resection of the mandible, using piezoelectric knife as safe method to achieve bloodless surgery. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175075]http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600225N.pdfmandibular neoplasmshemangiomadiagnosisconebeam computed tomographyoral surgical proceduresbone transplantation
spellingShingle Nikolić Živorad S.
Jelovac Drago B.
Šabani Melvil
Jeremić Jelena V.
Boričić Ivan
Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
Vojnosanitetski Pregled
mandibular neoplasms
hemangioma
diagnosis
conebeam computed tomography
oral surgical procedures
bone transplantation
title Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
title_full Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
title_fullStr Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
title_full_unstemmed Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
title_short Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
title_sort intraosseous focal venous malformation of the mandibular body cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction
topic mandibular neoplasms
hemangioma
diagnosis
conebeam computed tomography
oral surgical procedures
bone transplantation
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600225N.pdf
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