Management of intra-osseous arteriovenous malformations of the mandible - 12/03/22

Doi : 10.1016/j.jormas.2022.03.004

Fanny Ciccarese ^a,^b,^⁎ , Julie Chauvel-Picard ^a,^b,^c, Laurent Guibaud ^d,^e, Loïc Viremouneix ^d,^e, Jean-Luc Perrot ^b,^f, Pierre Breton ^e,^g, Arnaud Gleizal ^a,^c,^e
^a Department of Cranio-Maxillo-Facial Surgery, Hôpital Nord, Avenue Albert Raimond 42055 Saint-Etienne Cedex, France
^b Jacques Lisfranc faculty of Medicine, Jean Monnet University, Saint-Etienne, France
^c Department of Cranio-Maxillo-Facial Surgery of the pediatric hospital, Hôpital Femme Mère Enfant, 59 boulevard Pinel, 69677 Bron, France
^d Department of Pedriatric and Fetal Imaging, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, 69500 Bron, France
^e Claude Bernard Lyon 1 University, 43 Boulevard du 11 Novembre 1918, 69100 Villeurbanne, France
^f Department of dermatology, Hôpital Nord, Avenue Albert Raimond 42055 Saint-Etienne Cedex, France
^g Department of Cranio-Maxillo-Facial Surgery, Centre Hospitalier Lyon Sud, 165 chemin du Grand Revoyet, 69310 Pierre-Bénite, France

^⁎Corresponding author at: Service de Chirurgie Maxillo-Faciale et plastique – Stomatologie, Centre Hospitalier Universitaire Nord, Avenue Albert Raimond, 42055 Saint-Etienne, France.Service de Chirurgie Maxillo-Faciale et plastique – StomatologieCentre Hospitalier UniversitaireNord, Avenue Albert RaimondSaint-Etienne42055France

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Saturday 12 March 2022
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Abstract

Intra-mandibular arteriovenous malformations (IM-AVM) are rare congenital lesions sadly known by the appearance of cataclysmic haemorrhages. It represents a therapeutic challenge which requires a multidisciplinary approach. This paper aims to evaluate the characteristics and management of IM-AVM through the illustration of six case reports, the largest serie in the literature to our knowledge. This retrospective study included all patients with IM-AVM treated in the hospital of Lyon and Saint-Etienne between 1982 and 2021, in France. The management of mandibular AVMs should be individualized and permanently adjusted according to their stage of development, which makes their management difficult. Furthermore, long-term follow-up is essential to detect and manage the subclinical progression of the lesion. Based on these results and a systematic review of the literature, an algorithm has been developed to guide the treatment strategy for this are pathology.

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Keywords : Arteriovenous malformation, High-flow malformation, Mandible, Mandibular, Intraosseous