Advertisement

Oral and Maxillofacial Surgery

, Volume 18, Issue 3, pp 279–282 | Cite as

Life-threatening bleeding after tooth extraction due to vascular malformation: a case report and literature review

  • Marcus Stephan KriwalskyEmail author
  • Dimitrios Papadimas
  • Peter Maurer
  • Martin Brinkmann
  • Jochen Jackowski
  • Martin Kunkel
Review Article

Abstract

Severe hemorrhages of the oral cavity may be caused by arteriovenous malformations. This case report concerns a 52-year-old healthy female who presented with a painful lower third molar and an extensive arteriovenous high-flow malformation of the floor of the right side of the mouth. During the extraction of the right lower wisdom tooth, an episode of massive life-threatening bleeding occurred. Since the therapy for intraoral arteriovenous malformations of the soft tissue is complex and often difficult to perform, the modus operandi of the present case is presented, and a review of the literature is included.

Keywords

Life-threatening bleeding Hemorrhage Tooth extraction Arteriovenous malformation 

References

  1. 1.
    Mulliken JB, Glowacki J (1982) Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 69:412–422PubMedCrossRefGoogle Scholar
  2. 2.
    Kohout MP, Hansen M, Pribaz JJ, Mulliken JB (1998) Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 102:643–654PubMedCrossRefGoogle Scholar
  3. 3.
    Carneiro SC, Batista LL, Vasconcelos BC, Maranhao CA, Panazzolo G, Queiroz IV, Medeiros Junior R (2009) Massive oral hemorrhage due to mandibular arteriovenous malformation treated with percutaneous approach—a case report. J Oral Maxillofac Surg 67:2525–2528PubMedCrossRefGoogle Scholar
  4. 4.
    Brauer HU (2009) Unusual complications associated with third molar surgery: a systematic review. Quintessence Int 40:565–572PubMedGoogle Scholar
  5. 5.
    Moghadam HG, Caminiti MF (2002) Life-threatening hemorrhage after extraction of third molars: case report and management protocol. J Can Dent Assoc 68:670–674PubMedGoogle Scholar
  6. 6.
    Heiland M, Weber M, Schmelzle R (2003) Life-threatening bleeding after dental extraction in a hemophilia A patient with inhibitors to factor VIII: a case report. J Oral Maxillofac Surg 61:1350–1353PubMedCrossRefGoogle Scholar
  7. 7.
    Bouloux GF, Perciaccante VJ (2009) Massive hemorrhage during oral and maxillofacial surgery: ligation of the external carotid artery or embolization? J Oral Maxillofac Surg 67:1547–1551PubMedCrossRefGoogle Scholar
  8. 8.
    Gibbon WW, Pooley J (1990) Pathological fracture of the femoral shaft in a case of Servelle-Martorell syndrome (phleboeclatic osteohypoplastic angiodysplasia with associated arterio-venous malformation). Br J Radiol 63:574–576PubMedCrossRefGoogle Scholar
  9. 9.
    Werner JA, Geisthoff UW, Lippert BM, Rudert H (1997) Treatment of recurrent epistaxis in Rendu-Osler-Weber disease. HNO 45:673–681PubMedCrossRefGoogle Scholar
  10. 10.
    Greinwald JH Jr, Burke DK, Bonthius DJ, Baumann NM, Smith RJ (1999) An update on the treatment of hemangiomas in children with interferon alfa-2a. Arch Otolaryngol Head Neck Surg 125:21–27PubMedCrossRefGoogle Scholar
  11. 11.
    Aydin A, Cakmakci H, Kovanlikaya A, Dirik E (2000) Sturge-Weber syndrome without facial nevus. Pediatr Neurol 22:400–402PubMedCrossRefGoogle Scholar
  12. 12.
    Noel AA, Gloviczki P, Cherry KJ Jr, Rooke TW, Stanson AW, Driscoll DJ (2000) Surgical treatment of venous malformations in Klippel-Trenaunay syndrome. J Vasc Surg 32:840–847PubMedCrossRefGoogle Scholar
  13. 13.
    Rodrigues D, Bourroul ML, Ferrer AP, Monteiro Neto H, Goncalves ME, Cardoso SR (2000) Blue rubber bleb newus syndrome. Rev Hosp Clin Fac Med Sao Paulo 55:29–34PubMedCrossRefGoogle Scholar
  14. 14.
    Seckin U, Borman P, Ozoran K (2000) Clinical images: Maffucci’s syndrome. Arthritis Rheum 43:1672PubMedGoogle Scholar
  15. 15.
    Saydjai R, Saydjari R, Guinto FC Jr, Wolma FJ (1990) Arteriovenous malformation of the tongue. South Med J 83:1335–1337CrossRefGoogle Scholar
  16. 16.
    Slaba S, Herbreteau DJ, Haveri HS, Casasco A, Aymard A, Houdart E, Aoun N, Riche MC, Enjolras O, Merland JJ (1998) Therapeutic approach to arteriovenous malformations of the tongue. Eur Radiol 8:280–285PubMedCrossRefGoogle Scholar
  17. 17.
    Richter GR, Suen J, North PE, James CA, Waner M, Buckmiller LM (2007) Arteriovenous malformations of the tongue: a spectrum of disease. Laryngoscope 117:328–335PubMedCrossRefGoogle Scholar
  18. 18.
    Kluba S, Meiss A, Prey N, Ernemann U, Reinert S, Hoffmann J (2007) Arteriovenous malformation of the mandible: life-threatening manifestation during tooth extraction. Mund Kiefer Gesichtschir 11:107–113PubMedCrossRefGoogle Scholar
  19. 19.
    Churojana A, Khumtong R, Songsaeng D, Chongkolwatana C, Suthipongchai S (2012) Life-threatening arteriovenous malformation of the maxillomandibular region and treatment outcomes. Interv Neuroradiol 18:49–59PubMedCentralPubMedGoogle Scholar
  20. 20.
    Watzinger F, Gössweiner S, Wagner A, Richling B, Milesi-Schobel G, Hollmann K (1997) Extensive facial vascular malformations and haemangiomas: a review of the literature and case reports. J Craniomaxillofac Surg 25:335–343PubMedCrossRefGoogle Scholar
  21. 21.
    Ernemann U, Hoffmann J, Grönewäller E, Breuninger H, Rebmann H, Adam C, Reinert S (2003) Hemangiomas and vascular malformations in the area of the head and neck. Radiologe 43:958–966PubMedCrossRefGoogle Scholar
  22. 22.
    Deng W, Huang D, Chen S, Zhang X, Li X, Li J, Chen X (2010) Management of high-flow arteriovenous malformation in the maxillofacial region. J Craniofac Surg 21:916–919PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Marcus Stephan Kriwalsky
    • 1
    Email author
  • Dimitrios Papadimas
    • 1
  • Peter Maurer
    • 2
  • Martin Brinkmann
    • 3
  • Jochen Jackowski
    • 4
  • Martin Kunkel
    • 1
  1. 1.Department of Oral and Plastic Maxillofacial SurgeryRuhr-University BochumBochumGermany
  2. 2.Private Practice of Oral and Maxillofacial SurgerySt. WendelGermany
  3. 3.Department of Radiology and Nuclear MedicineRuhr-UniversityBochumGermany
  4. 4.Department of Oral SurgeryUniversity of Witten/ HerdeckeWittenGermany

Personalised recommendations