CC BY-NC-ND 4.0 · Indian J Plast Surg 2008; 41(02): 183-189
DOI: 10.1055/s-0039-1700486
Original Article
Association of Plastic Surgeons of India

Management strategy for facial arteriovenous malformations

S. P. Bhandari
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
,
L P. Sadhotra
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
,
P. Bhargava
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
,
A. S. Bath
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
,
M. K. Mukherjee
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
,
Maurya Sanjay
Department of Plastic Surgery, Armed Forces Medical College and Command Hospital (SC) Pune-40, India.
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

Arteriovenous malformations (AVMs) are uncommon errors of vascular morphogenesis; haemodynamically, they are high-flow lesions. Approximately 50% of AVMs are located in the craniofacial region. Subtotal excision or proximal ligation of the feeding vessel frequently results in rapid progression of the AVMs. Hence, the correct treatment consists of highly selective embolisation (super-selective) followed by complete resection 24-48 hours later. We treated 20 patients with facial arteriovenous malformation by using this method. Most of the lesions (80%) were located within the cheek and lip. There were no procedure related complications and cosmetic results were excellent.

 
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