Arteriovenous Malformation of the Mandible in a Young Postpartum Woman

• Main Authors: Gabrielle Angela G. Mercado, Kirt Areis E. Delovino, Allan B. Carpela
• Format: Article
• Language: English
• Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2019-06-01
• Series: Philippine Journal of Otolaryngology Head and Neck Surgery
• Subjects: arteriovenous malformations; mandible, abnormalities; vascular malformations
• Online Access: https://pjohns.pso-hns.org/index.php/pjohns/article/view/849

Objective: To present a case of arteriovenous malformation of the mandible in a young postpartum woman and discuss the diagnostic and therapeutic dilemmas involved. Methods:           Design: Case Report           Setting: Tertiary Private Teaching Hospital           Participants: One  Result: A 27-year-old woman with left mandibular swelling two weeks after tooth extraction was diagnosed and managed as a case of arteriovenous malformation. The extent of the lesion prevented surgical intervention and bleeding recurred despite three embolization attempts. Ultimately, the left external carotid artery and contralateral dorsal contributory vessel were sacrificed causing necrosis of the anterior tongue and its eventual detachment. Three sessions of stereotactic radiosurgery eventually controlled the bleeding with no recurrence to date. Conclusion: On her second month following stereotactic radiosurgery, there appeared to be no complete resolution of the AVM but there was also no recanalization or regrowth of the lesion. Uncertain about whether her arteriovenous malformation will revascularize and how we may be able to help her in the event that it does, the waiting game continues for our patient. Keywords: arteriovenous malformations; mandible, abnormalities; vascular malformations