AI Article Synopsis
- Mandibular arteriovenous malformation (AVM) is a rare condition that can lead to significant oral bleeding, as seen in a case where a 35-year-old woman experienced acute hemorrhage following a tooth extraction.
- Imaging techniques revealed a vascular mass with invasive bone destruction, leading to a confirmed AVM diagnosis through angiography.
- The treatment involved using coils to reduce blood flow followed by the injection of absolute ethanol to eliminate the malformation, resulting in no further bleeding and stable condition during a 12-month follow-up.
Article Abstract
Background: Mandibular arteriovenous malformation (AVM) is rare. Our work aims to introduce the ethanol embolization of a patient suffering from acute oral hemorrhage induced by mandibular AVM.
Methods: A 35-year-old woman without coagulopathy underwent tooth extraction, and the acute oral bleeding occurred intraoperatively. Imaging examinations indicated the enhancement of vascular mass with bone destruction inside the mandible. Angiography finally confirmed the high blood flow nature and the diagnosis of AVM.
Results: During the interventional procedure, the coils were first applied into the dilated outflowing vein to slow down the blood flow rate of mandibular AVM. Absolute ethanol was injected in a multi-bolus modality to destroy the nidus of AVM. Her mandibular lesion had been stable in the 12-month re-examined angiography, no further bleeding occurred during the period.
Conclusions: Ethanol embolotherapy was a less invasive, more precise, and quick-action approach managing AVM of the jaw and related emergency medicine.
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| http://dx.doi.org/10.1002/hed.27833 | DOI Listing |
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