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  • Title: Challenges in the management of massive intraorbital and hemifacial arteriovenous malformation as causing life-threatening epistaxis.
    Author: Manuel AM, Kalimuthu S, Pathmanathan SS, Narayanan P, Zainal Abidin Z, Azmi K, Khalil A.
    Journal: Asian J Surg; 2017 Apr; 40(2):158-162. PubMed ID: 24210537.
    Abstract:
    Arteriovenous malformations are congenital lesions that may evolve with time and manifest in a plethora of presentations. They can occur as torrential epistaxis when it extensively involves the facial region. Multi-imaging modalities are available to assist in characterizing the structure of the lesion as well as its location and extent. This complex disease requires a multidisciplinary team approach with preoperative embolization and surgery. We present a rare cause of life-threatening epistaxis in a gentleman with a longstanding orbital and hemifacial arteriovenous malformation and discuss the complexities involved in its management.
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