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Submitted: 16 July 2019 Modified: 16 July 2019
HERDIN Record #: 108908-1907161654377

Arteriovenous Malformation of the Mandible in a Young Postpartum Woman.

Gabrielle Angela  G. Mercado,
Kirt Areis E. Delovino,
Allan B. Carpela

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Objective: To present a case of arteriovenous malformation of the mandible in a young postpartum woman and discuss the diagnostic and therapeutic dilemmas involved.


Methods:


Design: Case Report


Setting: Tertiary Private Teaching Hospital


Participant: One (1)


Result: A 27-year-old woman with left mandibular swelling two weeks after tooth extraction was diagnosed and managed as a case of arteriovenous malformation. The extent of the lesion prevented surgical intervention and bleeding recurred despite three embolization attempts. Ultimately, the left external carotid artery and contralateral dorsal contributory vessel were sacrificed causing necrosis of the anterior tongue and its eventual detachment. Three sessions of stereotactic radiosurgery eventually controlled the bleeding with no recurrence to date.


Conclusion: On her second month following stereotactic radiosurgery, there appeared to be no complete resolution of the AVM but there was also no recanalization or regrowth of the lesion. Uncertain about whether her arteriovenous malformation will revascularize and how we may be able to help her in the event that it does, the waiting game continues for our patient.


Keywords: arteriovenous malformations; mandible, abnormalities; vascular malformations


 

Publication Type
Journal
Publication Sub Type
Case report
Title
Philippine Journal of Otolaryngology Head and Neck Surgery
Frequency
Semi-Annual
Publication Date
January-June 2019
Volume
34
Issue
1
Page(s)
52-55
LocationLocation CodeAvailable FormatAvailability
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext pdf (Download)
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext External Link (View)

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