Intraosseous venous malformation of the zygomatico-orbital complex. Case report and literature review with focus on confusions in vascular lesion terms
- 37 Downloads
Intraosseous vascular malformations (VascM) of the facial skeleton are rare entities, raising difficulties even today in their treatment. We present a case for zygomatic intraosseous venous malformation of traumatic etiology with growth dynamics presentation and a multidisciplinary treatment approach, with intravascular embolization surgical ablation and primary reconstructruction using a titanium patient-specific implant (PSI), and a review of the literature for intraosseous vascular lesions of the facial skeleton focusing on the diagnostic syntagms used by the involved medical personnel, to shed light on the confusions over these terms.
KeywordsIntraosseous venous malformation Vascular malformations Patient-specific implants Superselective embolisation
We wish to thank to Sebastian Condrea, Mocanu Simona, Bögözi Bálint, and especially for János Kónya for his expertise and help in creating the PSI.
ZF: conceived the article, data analysis, writing of manuscript, PSI planning, surgery.
GYSZ: interdisciplinary coordination, writing of manuscript, critically revised the manuscript, surgery.
CP: manuscript review, patient investigations, follow-up.
BB: postoperative care, embolization, surgery, data acquisition.
KUH: ophthalmologic supervision-follow-up, data acquisition, drafting the manuscript.
KH: performed the embolization procedure, processing the images of the angiography, manuscript review.
ZN: critically revised the manuscript, approved the final manuscript.
SB: interdisciplinary coordination, performed the surgical procedure, data acquisition, and interpretation, drafting the manuscript, final approval of the manuscript.
All authors read and approved the final manuscript.
Compliance with ethical standards
This article does not contain any studies with human participants or animals performed by any of the authors. The treatment of the presented patient was not in any way influenced the due to this article.
The legal representative of the patient signed an explicit authorization form to publish the pictures without eye masking or with any other identifiable information. A copy of the authorization will be provided to the publisher upon request.
Zoltán Fábián declares that he has no conflict of interest.
György Szabó declares that he has no conflict of interest.
Cecilia Petrovan declares that he has no conflict of interest.
Karin Ursula Horváth declares that he has no conflict of interest.
Botond Babicsák declares that he has no conflict of interest.
Kálmán Hüttl declares that he has no conflict of interest.
Zsolt Németh declares that he has no conflict of interest.
Sándor Bogdán declares that he has no conflict of interest.
- 2.Colletti G, Frigerio A, Giovanditto F, Biglioli F, Chiapasco M, Grimmer JF (2014) Surgical treatment of vascular malformations of the facial bones. J Oral Maxillofac Surg 72:1326.e1–1326.e18. doi: https://doi.org/10.1016/j.joms.2014.02.012
- 6.Lee BB, Baumgartner I, Berlien P, Bianchini G, Burrows P, Gloviczki P, Huang Y, Laredo J, Loose DA, Markovic J, Mattassi R, Parsi K, Rabe E, Rosenblatt M, Shortell C, Stillo F, Vaghi M, Villavicencio L, Zamboni P, International Union of Phlebology (2015) Diagnosis and treatment of venous malformations. Consensus document of the International Union of Phlebology (IUP): updated 2013. Int Angiol 34:97–149PubMedGoogle Scholar
- 7.Enjolras O, Wassef M, Chapot R (2007) Introduction: ISSVA Classification in: Color Atlas of Vascular Tumors and Vascular MalformationsGoogle Scholar
- 9.Saha A, Ray A, Ghorui T (2016) Large arteriovenous malformation of mandible - a case report and review of literature. Indian J Radiol ImagingGoogle Scholar
- 10.Fan X, Qiu W, Zhang Z, Mao Q (2002) Comparative study of clinical manifestation, plain-film radiography, and computed tomographic scan in arteriovenous malformations of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:503–509. https://doi.org/10.1067/moe.2002.126910 CrossRefPubMedGoogle Scholar
- 15.Cheng N-C, Lai D-M, Hsie M-H, Liao SL, Chen YBT (2006) Intraosseous hemangiomas of the facial bone. Plast Reconstr Surg 117:2366–2372. https://doi.org/10.1097/01.prs.0000218818.16811.9b CrossRefPubMedGoogle Scholar
- 18.Wu JK, Bisdorff A, Gelbert F et al (2005) Auricular arteriovenous malformation: evaluation, management, and outcome. Plast Reconstr Surg 115:985–995. https://doi.org/10.1097/01.PRS.0000154207.87313.DE CrossRefPubMedGoogle Scholar
- 20.Greene AK, Rogers GF, Mulliken JB (2007) Intraosseous “hemangiomas” are malformations and not tumors. Plast Reconstr Surg 119:1949–1950. https://doi.org/10.1097/01.prs.0000259768.59590.5a CrossRefPubMedGoogle Scholar
- 21.Selfe RW, Sherman M, Miller TF (1978) Arteriovenous malformation of the mandible. Otolaryngology 86:ORL–659–66Google Scholar
- 25.Horváth KU, Mühlfay G (2008) Sindromul sino-orbitar. University Press, Targu MuresGoogle Scholar
- 26.Ferrés-Amat E, Prats-Armengol J, Maura-Solivellas I, Ferrés-Amat E, Mareque-Bueno J, Ferrés-Padró E (2015) Gingival bleeding of a high-flow mandibular arteriovenous malformation in a child with 8-year follow-up. Case Rep Pediatr 2015:745718–745715. https://doi.org/10.1155/2015/745718 PubMedPubMedCentralGoogle Scholar