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Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review.

Theologie-Lygidakis N, Schoinohoriti O, Tzermpos F, Christopoulos P, Iatrou I - J Oral Maxillofac Res (2015)

Bottom Line: Five lesions were located in the mandible and one in the maxilla.Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients.A multidisciplinary approach is important for their safe and efficient treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, "P. & A. Kyriakou" Children's Hospital, University of Athens Greece.

ABSTRACT

Background: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents.

Methods: A retrospective study (from 2009 to 2014) was performed to investigate the features and management of the intraosseous vascular anomalies in a Greek paediatric population.

Results: Six patients aged between 6 and 14 years were treated for intraosseous vascular malformations (4 venous and 2 arteriovenous) of the jaws. Five lesions were located in the mandible and one in the maxilla. In four lesions with pronounced vascularity superselective angiography, followed by embolization was performed. Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients.

Conclusions: The intraosseous vascular malformations of the jaws may escape diagnosis in paediatric patients. A multidisciplinary approach is important for their safe and efficient treatment. Embolization is recommended for extended high-flow lesions, either preoperatively or as a first-line treatment, when surgery is not feasible without significant morbidity.

No MeSH data available.


Related in: MedlinePlus

A = initial orthopantomogram of the patient number 4, showing an extended, ill-defined IVA at the right mandibular body; B = orthopantomogram of the same patient, directly after embolization with Onyx®, showing compact lodgement of the embolic agent in the varix.
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fig3: A = initial orthopantomogram of the patient number 4, showing an extended, ill-defined IVA at the right mandibular body; B = orthopantomogram of the same patient, directly after embolization with Onyx®, showing compact lodgement of the embolic agent in the varix.


Management of Intraosseous Vascular Malformations of the Jaws in Children and Adolescents: Report of 6 Cases and Literature Review.

Theologie-Lygidakis N, Schoinohoriti O, Tzermpos F, Christopoulos P, Iatrou I - J Oral Maxillofac Res (2015)

A = initial orthopantomogram of the patient number 4, showing an extended, ill-defined IVA at the right mandibular body; B = orthopantomogram of the same patient, directly after embolization with Onyx®, showing compact lodgement of the embolic agent in the varix.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4516857&req=5

fig3: A = initial orthopantomogram of the patient number 4, showing an extended, ill-defined IVA at the right mandibular body; B = orthopantomogram of the same patient, directly after embolization with Onyx®, showing compact lodgement of the embolic agent in the varix.
Bottom Line: Five lesions were located in the mandible and one in the maxilla.Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients.A multidisciplinary approach is important for their safe and efficient treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, "P. & A. Kyriakou" Children's Hospital, University of Athens Greece.

ABSTRACT

Background: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents.

Methods: A retrospective study (from 2009 to 2014) was performed to investigate the features and management of the intraosseous vascular anomalies in a Greek paediatric population.

Results: Six patients aged between 6 and 14 years were treated for intraosseous vascular malformations (4 venous and 2 arteriovenous) of the jaws. Five lesions were located in the mandible and one in the maxilla. In four lesions with pronounced vascularity superselective angiography, followed by embolization was performed. Individualized surgical treatment, depending on the size and vascularity of the lesions was applied in 4 patients.

Conclusions: The intraosseous vascular malformations of the jaws may escape diagnosis in paediatric patients. A multidisciplinary approach is important for their safe and efficient treatment. Embolization is recommended for extended high-flow lesions, either preoperatively or as a first-line treatment, when surgery is not feasible without significant morbidity.

No MeSH data available.


Related in: MedlinePlus