Large arteriovenous high-flow mandibular, malformation with exsanguinating dental socket haemorrhage: a case report

J Craniomaxillofac Surg. 1997 Aug;25(4):228-31. doi: 10.1016/s1010-5182(97)80080-7.

Abstract

Arteriovenous malformations (AVMs) of the jaws are extremely rare lesions, which are probably hamartomas of developmental malformations. In this article we present an extremely high-flow AVM of the lower jaw with exsanguinating bleeding from the socket of the exfoliated tooth. Repeated episodic bleedings were controlled with local pressure and packing. Digital subtraction angiography revealed a high-flow, high-shunt AVM. Preoperative embolization and external carotid artery ligation, dental extraction, curettage and packing with Gelfoam were done. Postoperative bleeding stopped, bruit ceased, and it had disappeared completely after 6 months follow-up. On the second follow-up visit, 3 months later, the patient was found to have no problems.

Publication types

  • Case Reports

MeSH terms

  • Alveolar Process / blood supply*
  • Angiography, Digital Subtraction
  • Arteriovenous Malformations / complications*
  • Arteriovenous Malformations / diagnostic imaging
  • Arteriovenous Malformations / surgery
  • Arteriovenous Malformations / therapy
  • Carotid Artery, External / surgery
  • Child
  • Curettage
  • Embolization, Therapeutic
  • Follow-Up Studies
  • Gelatin Sponge, Absorbable / therapeutic use
  • Hemostatics / therapeutic use
  • Humans
  • Ligation
  • Male
  • Mandible / blood supply*
  • Maxillary Artery
  • Oral Hemorrhage / etiology*
  • Oral Hemorrhage / therapy
  • Regional Blood Flow
  • Tooth Exfoliation / physiopathology*
  • Tooth Extraction

Substances

  • Hemostatics