Complication of intraoral procedures in patients with vascular tumors

J Craniofac Surg. 2008 May;19(3):816-9. doi: 10.1097/SCS.0b013e31816aaba0.


Introduction: Intraosseous malformations are rarely reported in the maxillofacial area. Because of bone growing processes, it is still a challenge to find the appropriate way to treat this disorder. The gold standard treatment for arteriovenous malformation is an endovascular embolization, combined with surgery.

Methods: The case of a 14-year-old boy with arteriovenous malformation of the mandible was followed during a period of 8 years.

Results: Several embolizations and surgical interventions were required, culminating in bone reconstruction with a fibula graft to achieve normal mandibular form and function. There was no recurrence of the malformation during the follow-up period.

Conclusions: To obtain stable results in the case of intraosseous arteriovenous malformations of the mandible, a combination of embolization and surgery is recommended. Superselective embolization is possible in an emergency case.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arteriovenous Malformations / complications*
  • Arteriovenous Malformations / therapy
  • Bone Plates
  • Bone Transplantation
  • Carotid Artery, External / surgery
  • Dental Implantation, Endosseous
  • Embolization, Therapeutic
  • Enbucrilate
  • Fracture Fixation, Internal / instrumentation
  • Humans
  • Male
  • Mandible / blood supply*
  • Mandibular Fractures / etiology
  • Mandibular Fractures / surgery*
  • Maxillary Artery / abnormalities*
  • Oral Surgical Procedures / methods*
  • Osteonecrosis / etiology


  • Enbucrilate