Purpose To characterize intraosseous vascular malformations and describe the most appropriate approach for treatment according to clinical experience and a review of the published data. Materials and Methods We performed a retrospective review of 11 vascular malformations (7 venous and 4 arteriovenous) of the facial bones treated during a 10-year period using en bloc resection or intraoral aggressive curettage alone or preceded by endovascular embolization. Corrective surgery was planned to address any residual bone deformities. The cases were reviewed at a mean follow-up point of 6 years. Results Facial symmetry was restored in the cases requiring reconstruction. Tooth sparing was possible in the case of jaw and/or maxillary localization. Recanalization occurred in 14% of the venous and 33% of the arteriovenous malformations. Conclusions Facial intraosseous venous malformations can be successfully treated using surgery alone. Facial intraosseous arteriovenous malformations will be better addressed using combined approaches. Aggressive curettage will obviate the need for extensive surgical resection in selected cases.

Surgical treatment of vascular malformations of the facial bones / G. Colletti, A. Frigerio, F. Giovanditto, F. Biglioli, M. Chiapasco, J.F. Grimmer. - In: JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY. - ISSN 0278-2391. - 72:7(2014 Jul), pp. 1326.e1-1326.e18. [10.1016/j.joms.2014.02.012]

Surgical treatment of vascular malformations of the facial bones

G. Colletti
Co-primo
Conceptualization
;
A. Frigerio
Co-primo
Investigation
;
F. Biglioli
Co-primo
Investigation
;
M. Chiapasco
Co-primo
Writing – Review & Editing
;
2014-07

Abstract

Purpose To characterize intraosseous vascular malformations and describe the most appropriate approach for treatment according to clinical experience and a review of the published data. Materials and Methods We performed a retrospective review of 11 vascular malformations (7 venous and 4 arteriovenous) of the facial bones treated during a 10-year period using en bloc resection or intraoral aggressive curettage alone or preceded by endovascular embolization. Corrective surgery was planned to address any residual bone deformities. The cases were reviewed at a mean follow-up point of 6 years. Results Facial symmetry was restored in the cases requiring reconstruction. Tooth sparing was possible in the case of jaw and/or maxillary localization. Recanalization occurred in 14% of the venous and 33% of the arteriovenous malformations. Conclusions Facial intraosseous venous malformations can be successfully treated using surgery alone. Facial intraosseous arteriovenous malformations will be better addressed using combined approaches. Aggressive curettage will obviate the need for extensive surgical resection in selected cases.
Mandibular arteriovenous-malformation; venous malformation; classification; management; embolization; hemangiomas; anomalies; lesions; face
Settore MED/29 - Chirurgia Maxillofacciale
Settore MED/28 - Malattie Odontostomatologiche
Settore MED/22 - Chirurgia Vascolare
Settore MED/19 - Chirurgia Plastica
Article (author)
File in questo prodotto:
File Dimensione Formato  
1-s2.0-S0278239114001748-main.pdf

accesso riservato

Tipologia: Publisher's version/PDF
Dimensione 9.39 MB
Formato Adobe PDF
9.39 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/630730
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 23
  • ???jsp.display-item.citation.isi??? 21
social impact