Arteriovenous Malformation of the Tongue

Saydjari, Rami; Fc, Guinto; Fj, Wolma

doi:10.1097/00007611-199011000-00029

Cited by 6 publications

(3 citation statements)

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“…Few case reports have described lingual AVM 3,4,10,11 . In this study, we have identified two clinical entities, focal lingual AVM and diffuse AVM with tongue involvement.…”

Section: Discussionmentioning

confidence: 89%

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Arteriovenous Malformations of the Tongue: A Spectrum of Disease

et al. 2007

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This study suggests that tongue AVM can occur within a spectrum of disease with different clinical presentations, radiographic findings, and histology among patients with focal versus advanced lesions. Inadequate treatment is thought to contribute to collateral flow and disease progression in advanced AVM, making further management difficult. However, focal tongue AVM may represent early lesions that are more amenable to surgical management.

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“…Few case reports have described lingual AVM 3,4,10,11 . In this study, we have identified two clinical entities, focal lingual AVM and diffuse AVM with tongue involvement.…”

Section: Discussionmentioning

confidence: 89%

“…Few case reports have described lingual AVM. 3,4,10,11 In this study, we have identified two clinical entities, focal lingual AVM and diffuse AVM with tongue involvement. Their presentation, clinical course, prognosis, and therapeutic requirements were distinctly different.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous Malformations of the Tongue: A Spectrum of Disease

et al. 2007

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“…The AVM decreased in size following treatment but subsequently recurred on four occasions, requiring additional embolization. 9 Multiple embolizations are typical when treating AVMs. 10,11 In addition, embolization poses a risk of deposition of stray particles into normal territories, including the internal carotid system.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous malformation of the base of tongue: Case report and literature review

et al. 1996

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Arteriovenous malformations of the head and neck pose a challenging therapeutic and reconstructive problem. In this report we describe a rare case of an arteriovenous malformation of the base of tongue. The patient, a young adult female, was treated with embolization followed by surgical resection using a lateral pharyngotomy approach. Reconstruction of the extensive base of tongue defect was accomplished using a radial forearm free flap. Currently, the patient is decannulated, articulates clearly, tolerates a normal diet, and is without recurrence. Our treatment approach is discussed in detail and compared with alternative techniques.© 1998 Wiley-Liss, Inc. MICROSURGERY 17:706-709 1996Arteriovenous malformation (AVM) of the external carotid artery is a vascular lesion rarely encountered in clinical practice. Histologically, an AVM consists of thick-walled, dysmorphic arteries with aberrant venous connections. Secondary changes within the veins include progressive reactive hypertrophy, intimal thickening, and sclerosis. AVMs of the external carotid artery typically present in late childhood or early adulthood. Symptoms can include throbbing pain, a ''buzzing'' sound in the ear, or pulsatile tinnitus, depending on the location of the lesion.2,3 On physical examination, an AVM appears as an erythematous blush of the skin or mucosa that is warm to the touch. Arteriovenous shunting is suggested by the presence of a bruit on auscultation or Doppler examination. Infection, trauma, or hormonal changes can cause rapid expansion and bleeding in a previously stable AVM.Magnetic resonance imaging (MRI) is the preferred radiologic study for displaying the involved tissue planes and the flow characteristics of this lesion. In addition, angiography with selective embolization is usually performed prior to surgical resection to decrease the vascularity of the lesion and to define precisely the feeder vessels. Embolization followed by complete surgical resection provides the best chance for long-term cure. Incomplete surgical excision of the anomalous vascular channels invariably leads to further collateralization, shunting, expansion, and ultimately clinical recurrence. 4 In the present report we describe a rare case of an AVM of the tongue base. The patient was treated with embolization followed by complete surgical resection. Reconstruction was accomplished using a radial forearm free flap. The short-and long-term advantages of our treatment approach for this rare problem are discussed. CASE REPORTA 34-year-old white female presented to her local emergency room with hematemesis and epigastric pain. She had been previously diagnosed with peptic ulcer disease, based on a single episode of hematemesis. On physical examination, the patient was pale and tachycardic. A complete blood count revealed a hemoglobin of 7.9. The patient was fluidresuscitated using packed red blood cells. Emergent upper endoscopy revealed no identifiable bleeding source. An otolaryngology consultation was obtained and on oropharyngeal examination, a large...

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