Diagnostic and therapeutic approach of vascular malformation of the lower lip
Despoina MICHAILIDOU, Dimitrios TATSIS, Vaia-Aikaterini ALEXOUDI, Dimitrios DELIGIANNIDIS, Theodoros GRIVAS, Nikoleta PASTELLI, Konstantinos ANTONIADES
Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (Head: Professor K. Antoniades)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 2, 85-94
SUMMARY: Vascular malformations are lesions attributed to developmental vessel anomalies, an area type of vas- cular anomalies, and they are not common entities. Cranio- maxillofacial region is the most common site of their ap- pearance, and they can cause morphogenetic anomalies. Proper diagnosis and management of each case is pa- tient-specific, and includes a detailed medical history, as well as examination with certain imaging testing. Surgical management may become complicated, and a high per- centage of failure or relapse may occur. The aim of the present paper is to present a case of arteriovenous malformation of the lower lip in a 68-year-old male patient, who was treated with a combination of preoperative embolization and surgical excision of the lesion, with ad- equate functional and aesthetic outcome.
KEY WORDS: Arteriovenous malformation, arterial em- bolization, surgical excision
REFERENCES
Antony G, Mani V, and Noufal A: Update on the Classification of Hemangioma. J Oral Maxillofac Pathol. 18(Suppl 1): S117-20, 2014
Brouillard P, and Vikkula M: Vascular Malformations: Localized Defects in Vascular Morphogenesis. Clin Genet. 63(5): 340-51 2003 Classification | International Society for the Study of Vascular Anomalies. n.d. Accessed May 6, 2020. https://www.issva.org/classifica- tion
Kohout MP, Hansen M, Pribaz JJ, and Mulliken JB: Arteriovenous Mal- formations of the Head and Neck: Natural History and Manage- ment. Plast Reconstr Surg. 102 (3): 643–54, 1998
Martin TJ, Lotfi HB, and Rhee JS: Arteriovenous Fistula of the Lower Lip: Case Report of Combined Intra-Vascular and Surgical Cure. Wisconsin Medical Journal 105 (4): 47–50, 2006
McCuaig CC: Update on Classification and Diagnosis of Vascular Mal- formations. Curr Opin Pediatr. 29 (4): 448–54, 2017
Mulliken JB, and Glowacki J: Hemangiomas and Vascular Malformations in Infants and Children: A Classification Based on Endothelial Characteristics. Plast Reconstr Surg. 69 (3): 412–20, 1982
Pompa V, Valentini V, Pompa G, Di Carlo S, and Bresadola L: Treat- ment of High-Flow Arteriovenous Malformations (AVMs) of the Head and Neck with Embolization and Surgical Resection. Ann Ital Chir. 82 (4): 253–60, 2011
Richter A, Gresham T, and Suen JY: Clinical Course of Arteriovenous Malformations of the Head and Neck: A Case Series. Otolaryngol Head Neck Surg. 142 (2): 184–90, 2010
Shobeirian F, Morteza ST, Ruhollah Y, and Hamidreza H: Huge Arte- riovenous Malformation of Upper Lip - A Case Report. Iran J Otorhinolaryngol. 32 (1): 49–52, 2020
Sohail M, Bashir MM, Ansari HH, Khan FA, Assumame N, Awan NU, and Chatha AA: Outcome of Management of Vascular Malforma- tions of Lip. J Craniofac Surg. 27 (6): e520–24, 2016
Soura E, Stefanaki Ch, and Katsarou-Katsari A: Vascular Malformations. Hellenic Dermato-Venereological Review 23 (3): 143–58, 2012
Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (Head: Professor K. Antoniades)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 2, 85-94
SUMMARY: Vascular malformations are lesions attributed to developmental vessel anomalies, an area type of vas- cular anomalies, and they are not common entities. Cranio- maxillofacial region is the most common site of their ap- pearance, and they can cause morphogenetic anomalies. Proper diagnosis and management of each case is pa- tient-specific, and includes a detailed medical history, as well as examination with certain imaging testing. Surgical management may become complicated, and a high per- centage of failure or relapse may occur. The aim of the present paper is to present a case of arteriovenous malformation of the lower lip in a 68-year-old male patient, who was treated with a combination of preoperative embolization and surgical excision of the lesion, with ad- equate functional and aesthetic outcome.
KEY WORDS: Arteriovenous malformation, arterial em- bolization, surgical excision
REFERENCES
Antony G, Mani V, and Noufal A: Update on the Classification of Hemangioma. J Oral Maxillofac Pathol. 18(Suppl 1): S117-20, 2014
Brouillard P, and Vikkula M: Vascular Malformations: Localized Defects in Vascular Morphogenesis. Clin Genet. 63(5): 340-51 2003 Classification | International Society for the Study of Vascular Anomalies. n.d. Accessed May 6, 2020. https://www.issva.org/classifica- tion
Kohout MP, Hansen M, Pribaz JJ, and Mulliken JB: Arteriovenous Mal- formations of the Head and Neck: Natural History and Manage- ment. Plast Reconstr Surg. 102 (3): 643–54, 1998
Martin TJ, Lotfi HB, and Rhee JS: Arteriovenous Fistula of the Lower Lip: Case Report of Combined Intra-Vascular and Surgical Cure. Wisconsin Medical Journal 105 (4): 47–50, 2006
McCuaig CC: Update on Classification and Diagnosis of Vascular Mal- formations. Curr Opin Pediatr. 29 (4): 448–54, 2017
Mulliken JB, and Glowacki J: Hemangiomas and Vascular Malformations in Infants and Children: A Classification Based on Endothelial Characteristics. Plast Reconstr Surg. 69 (3): 412–20, 1982
Pompa V, Valentini V, Pompa G, Di Carlo S, and Bresadola L: Treat- ment of High-Flow Arteriovenous Malformations (AVMs) of the Head and Neck with Embolization and Surgical Resection. Ann Ital Chir. 82 (4): 253–60, 2011
Richter A, Gresham T, and Suen JY: Clinical Course of Arteriovenous Malformations of the Head and Neck: A Case Series. Otolaryngol Head Neck Surg. 142 (2): 184–90, 2010
Shobeirian F, Morteza ST, Ruhollah Y, and Hamidreza H: Huge Arte- riovenous Malformation of Upper Lip - A Case Report. Iran J Otorhinolaryngol. 32 (1): 49–52, 2020
Sohail M, Bashir MM, Ansari HH, Khan FA, Assumame N, Awan NU, and Chatha AA: Outcome of Management of Vascular Malforma- tions of Lip. J Craniofac Surg. 27 (6): e520–24, 2016
Soura E, Stefanaki Ch, and Katsarou-Katsari A: Vascular Malformations. Hellenic Dermato-Venereological Review 23 (3): 143–58, 2012
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