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  • Title: Complication of intraoral procedures in patients with vascular tumors.
    Author: Hohlweg-Majert B, Metzger MC, Schramm A, Berlis A, Schön R.
    Journal: J Craniofac Surg; 2008 May; 19(3):816-9. PubMed ID: 18520405.
    Abstract:
    INTRODUCTION: Intraosseous malformations are rarely reported in the maxillofacial area. Because of bone growing processes, it is still a challenge to find the appropriate way to treat this disorder. The gold standard treatment for arteriovenous malformation is an endovascular embolization, combined with surgery. METHODS: The case of a 14-year-old boy with arteriovenous malformation of the mandible was followed during a period of 8 years. RESULTS: Several embolizations and surgical interventions were required, culminating in bone reconstruction with a fibula graft to achieve normal mandibular form and function. There was no recurrence of the malformation during the follow-up period. CONCLUSIONS: To obtain stable results in the case of intraosseous arteriovenous malformations of the mandible, a combination of embolization and surgery is recommended. Superselective embolization is possible in an emergency case.
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