Evidence-based Decision-making on Management of Arteriovenous Malformation of Face

Abstract

Arteriovenous malformations (AVMs) are uncommon inborn vascular anomaly, making for about 1.5% of all vascular aberrations. Remarkably, approximately half of AVM cases manifest in the mouth cavity and faciomaxillary region. A female patient, age 18 with an AVM on the right side of her face, is the subject of this case report. She had soft, compressible, nontender swelling on the right side of her face since birth; this swelling had gotten worse with age and she had surgery for it when she was 8 years old. The three-dimensional computed tomography scan of the face with angiography was done with findings of heterogeneous soft-tissue density lesion with increased volume, measuring 7.15 cm × 3.2 cm × 6.23 cm involving the right cheek. The surgery was planned through an intraoral approach over the right buccal mucosa with surgical excision and debulking with primary closure with the remaining buccal mucosa was done. Then, the patient kept on follow-up and the potential results were observed.

Keywords

• arteriovenous malformations
• facio-maxillary region
• inborn