MANDIBLE ANGLE HIGH FLOW ARTERIO-VENOUS MALFORMATION EXCISION THROUGH MEDIAL SIDE BY MANDIBLE SPLIT APPROACH

Dr. Bharat Saxena; Dr. Gharwade Chandrakant R.; Dr. Banerjee Shamol

Volume : VIII, Issue : II, February - 2019

MANDIBLE ANGLE HIGH FLOW ARTERIO-VENOUS MALFORMATION EXCISION THROUGH MEDIAL SIDE BY MANDIBLE SPLIT APPROACH

Dr. Bharat Saxena, Dr. Gharwade Chandrakant R. , Dr. Banerjee Shamol

Abstract :

Arterio–venous malformation of the mandible is a rare and life threatening condition. Significant number of these cases are detected as a result of torrential haemorrhage after tooth extraction. High degree of suspicion and prompt multi–specialty treatment is essential. Selective angiographic embolization has become the standard of treatment. However, embolization needs to be supplemented with other procedures to further reduce the rate of recurrence. Surgical excision of haemangioma post embolization gives promising outcomes and covers the wide spectrum of the disease. Surgical approach depends upon the size, location of lesion and continuity with adjacent structures. Here we present a case of mandibular angle arteriovenous malformation treated with pre–operative embolization followed by surgical excision & curettage through medial side by splitting the mandible in the centre.