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Comprehensive Treatment of Upper Lip Arteriovenous Malformation

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Arteriovenous malformations are uncommon congenital disorders in vascular development. They frequently involve craniofacial structures and result in a morphogenic abnormality with ominous arteriovenous shunting. We present a huge AVM of the upper lip in an 18-year-old patient who was successfully treated by the combination method of presurgical endovascular embolization and complete resection of the lesion. Subsequent surgical defect in upper lip, which involved more than two-third of the lip length, was reconstructed via Webster’s modification of cheek advancement flap.

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References

  1. Kohout MP, Hansen M, Pribaz JJ, Mulliken JB (1998) Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 102:643–654

    Article  CAS  PubMed  Google Scholar 

  2. Lemound J, Brachvogel P, Götz F, Rücker M, Gellrich NC, Eckardt A (2011) Treatment of mandibular high-flow vascular malformations: report of 2 cases. J Oral Maxillofac Surg 69:1956–1966

    Article  PubMed  Google Scholar 

  3. Motamedi MH, Behnia H, Motamedi MR (2000) Surgical technique for the treatment of high-flow arteriovenous malformations of the mandible. J Craniomaxillofac Surg 28:238–242

    Article  CAS  PubMed  Google Scholar 

  4. Ethunandan M, Mellor TK (2006) Haemangiomas and vascular malformations of the maxillofacial region—a review. Br J Oral Maxillofac Surg 44:263–272

    Article  CAS  PubMed  Google Scholar 

  5. Kademani D, Costello BJ, Ditty D, Quinn P (2004) An alternative approach to maxillofacial arteriovenous malformations with transosseous direct puncture embolization. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:701–706

    Article  PubMed  Google Scholar 

  6. Behnia H, Jafarian M, Dehghani N, Dehghani S, Seyedan K (2014) Comprehensive treatment and rehabilitation of a patient with maxillary arteriovenous malformation. J Craniofac Surg 25:e463–e467

    Article  PubMed  Google Scholar 

  7. Bhandari PS, Sadhotra LP, Bhargava P, Bath AS, Mukherjee MK, Maurya S (2008) Management strategy for facial arteriovenous malformations. Indian J Plast Surg 41:183–189

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Taskin U, Yigit O, Sunter VA, Albayram SM (2010) Intraoral excision of arteriovenous malformation of lower lip. J Craniofac Surg 21:268–270

    Article  PubMed  Google Scholar 

  9. Oka H, Pogrel MA, Dowd CF, Lee JS (2010) Treatment of arteriovenous malformation of the mandible with resection and immediate reconstruction. J Oral Maxillofac Surg 68:658–663

    Article  PubMed  Google Scholar 

  10. Qu X, Su L, Wang M, Fan X (2013) Two-year follow-up of osseointegration and rehabilitation in a patient with oral and maxillofacial arteriovenous malformations. Int J Oral Maxillofac Surg 42:1079–1082

    Article  CAS  PubMed  Google Scholar 

  11. Chen WL, Ye JT, Xu LF, Huang ZQ, Zhang DM (2009) A multidisciplinary approach to treating maxillofacial arteriovenous malformations in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:41–47

    Article  PubMed  Google Scholar 

  12. Richter GT, Suen JY (2010) Clinical course of arteriovenous malformations of the head and neck: a case series. Otolaryngol Head Neck Surg 142:184–190

    Article  PubMed  Google Scholar 

  13. Connor SE, Flis C, Langdon JD (2005) Vascular masses of the head and neck. Clin Radiol 60:856–868

    Article  CAS  PubMed  Google Scholar 

  14. Buckmiller LM, Richter GT, Suen JY (2010) Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Dis 16:405–418

    Article  CAS  PubMed  Google Scholar 

  15. Elluru RG, Azizkhan RG (2006) Cervicofacial vascular anomalies. II. Vascular malformations. Semin Pediatr Surg 15:133–139

    Article  PubMed  Google Scholar 

  16. Kiyokawa K, Takagi M, Fukushima J, Kizuka Y, Inoue Y, Tai Y (2005) Surgical treatment following huge arteriovenous malformation extending from the lower lip to the chin: combination of embolization, total resection, and a double cross lip flap. J Craniofac Surg 16:443–448

    Article  PubMed  Google Scholar 

  17. Hohlweg-Majert B, Metzger MC, Schramm A, Berlis A, Schön R (2008) Complication of intraoral procedures in patients with vascular tumors. J Craniofac Surg 19:816–819

    Article  PubMed  Google Scholar 

  18. Manganaro AM, Will MJ, Rafetto LK (2000) Rapidly enlarging lesion of the upper lip. J Oral Maxillofac Surg 58:883–887

    Article  CAS  PubMed  Google Scholar 

  19. Anvar BA, Evans BC, Evans GR (2007) Lip reconstruction. Plast Reconstr Surg 120:e57–e64

    Article  Google Scholar 

  20. Harris L, Higgins K, Enepekides D (2012) Local flap reconstruction of acquired lip defects. Curr Opin Otolaryngol Head Neck Surg 20:254–261

    Article  PubMed  Google Scholar 

  21. Mandrekas AD, Page R, O’Neill TJ (1994) Upper lip reconstruction with a radial forearm free flap. J Craniofac Surg 5:105–109

    Article  CAS  PubMed  Google Scholar 

  22. Matin MB, Dillon J (2014) Lip reconstruction. Oral Maxillofac Surg Clin North Am 26:335–357

    Article  PubMed  Google Scholar 

  23. Sun G, Lu M, Hu Q (2013) Reconstruction of extensive lip and perioral defects after tumor excision. J Craniofac Surg 24:360–362

    Article  PubMed  Google Scholar 

  24. Brinca A, Andrade P, Vieira R, Figueiredo A (2011) Karapandzic flap and Bernard–Burrow-Webster flap for reconstruction of the lower lip. An Bras Dermatol 86:S156–S159

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Dentofacial Deformity Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mohammad Jafarian

  2. Department of Oral and Maxillofacial Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Nima Dehghani

  3. Department of Oral and Maxillofacial Surgery, Qom University of Medical Sciences, Qom, Iran

    Shahin Shams

  4. Department of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mohammad Esmaeelinejad & Farzad Aghdashi

Authors
  1. Mohammad Jafarian
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  2. Nima Dehghani
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  3. Shahin Shams
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  4. Mohammad Esmaeelinejad
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  5. Farzad Aghdashi
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Corresponding author

Correspondence to Nima Dehghani.

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Jafarian, M., Dehghani, N., Shams, S. et al. Comprehensive Treatment of Upper Lip Arteriovenous Malformation. J. Maxillofac. Oral Surg. 15, 394–399 (2016). https://doi.org/10.1007/s12663-015-0836-8

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  • DOI: https://doi.org/10.1007/s12663-015-0836-8

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