Treatment of a giant mandibular arteriovenous malformation with percutaneous embolization using histoacrylic glue: A case report

Obliteration of a Large Mandibular Arterio-Venous Malformation with Polymethyl Methacrylate Bone Cement

“…However, there is still concern about recurrence after this treatment. Erroneous mobilization of the injected material to the internal carotid system may cause intracranial complications, that to the ophtalmic artery may cause blindness, and that to the pulmonary circulation may cause even the death of the patient with multiple embolizations after recurrent disease (4)(5).…”

“…Symptomatic AVMs should be treated with surgery, embolization, or both (3). Preoperative neoadjuvant or curative transarterial, transvenous, or percutaneous embolization and sclerotic material injections may be performed (4)(5)(6). We present a case with a huge mandibular AVM refractory to multiple embolizations of the supplying arteries, which was treated with polymethylmethacrylate (PMMA) bone cement implantation after the extraction of a molar tooth.…”

Hemostasis and obliteration of mandibular arteriovenous malformation through direct hydroxyapatite cement injection into the molar cavity

“…However, in the absence of clinical signs, the presence of mandibular radiolucency in a young patient warrants follow-up evaluation 1 3 6 8…”

“…On panoramic radiographs, these lesions produce ‘honeycomb’ osteolysis with small irregular lacunae and dental root resorptions creating a ‘floating teeth’ appearance 1 3 5 6 8. Although cross-sectional imaging and angiography (CTA/MRA) are valuable to assess the extent of the lesion, osseous erosion and its vascular supply for treatment planning, conventional angiography remains crucial in the characterization of the AVM nidus, specific arterial feeders and draining veins.…”

“…We found its utilization in this situation to be a unique and reasonable strategy for the emergency treatment of mandibular AVM bleeding and reconstruction following molar extraction. We advise a high level of multidisciplinary coordination including neurointerventional surgery, otolaryngology, oral/maxillofacial surgery, and plastic surgery in the planning and treatment of these lesions 1 3 5–7…”