The clinical classification and treatment of arteriovenous malformations of maxilloface / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1128-1131, 2004.
Article
in Chinese
| WPRIM
| ID: wpr-360915
ABSTRACT
<p><b>OBJECTIVE</b>To explore the clinical classification and ideal therapy for maxillofacial AVMs.</p><p><b>METHODS</b>According to the clinical characteristics, 106 patients with maxillofacial AVMs were divided into the 4 types Of them, 38 cases were cystic dilatation lesions, 22 cases were limited thicken lesions, 42 case were diffuse thicken lesions, 4 cases were central maxillary hemangioma. 106 patients with maxillofacial AVMs were treated in our hospital, of them, 8 cases received operation (group 1); 23 cases received embolization of supplying artery alone (group 2); 37 cases received embolization of supplying artery plus hardener intra-tumorous injection (group 3); 38 cases received embolization of supplying artery plus tumor resection (group 4).</p><p><b>RESULTS</b>Of all the patients were followed up 1 - 11 years, In group 1, 2, 3, and 4, the cure rates is 62.50%, 17.39%, 89.19%, and 97.37% respectively. one patient died of embolization of abnormal communication branches between external carotid and intra-cranical arteries.</p><p><b>CONCLUSIONS</b>(1) This new clinical classification is beneficial for selecting method of treatment. (2) It is necessary that a good digital subtraction angiography for maxillofacial AVMs. (3) The embolization of tumor supplying artery alone could cure the small AVM with single branch terminal blood supply. (4) The embolization of supplying artery plus hardener intratumorous injection or the embolization of supplying artery plus tumor resection is an effective method for maxillofacial AVMs.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteriovenous Malformations
/
Therapeutics
/
Diagnostic Imaging
/
Carotid Artery, External
/
Angiography, Digital Subtraction
/
Sclerotherapy
/
Follow-Up Studies
/
Diagnosis
/
Embolization, Therapeutic
/
Jaw
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2004
Type:
Article
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