Oral Surgical Procedures Performed Safely in Patients With Head and Neck Arteriovenous Malformations: A Retrospective Case Series of 12 Patients
| Autor: | Alejandro Berenstein, Abdul Basit Karim, Brian Bovino, Sean Lindsey |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_treatment Oral Surgical Procedures Blood Loss Surgical Hemostatics Ethiodized Oil 0302 clinical medicine Sclerotherapy Medicine Embolization Child medicine.diagnostic_test Vascular malformation Angiography Interventional radiology Enbucrilate Middle Aged Embolization Therapeutic Gelatin Sponge Absorbable Female Collagen Patient Safety Radiology Oral Surgery Cerebral angiography Adult medicine.medical_specialty Adolescent Punctures Radiology Interventional Arteriovenous Malformations Young Adult 03 medical and health sciences Humans Minimally Invasive Surgical Procedures Aged Retrospective Studies business.industry 030206 dentistry medicine.disease Sclerosing Solutions Surgery Jaw Otorhinolaryngology Hemostasis business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 74:255.e1-255.e8 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2015.10.012 |
| Popis: | Purpose This case series describes patients with head and neck arteriovenous malformations who underwent oral and maxillofacial surgical procedures combined with interventional radiology techniques to minimize blood loss. Materials and Methods Twelve patients underwent femoral cerebral angiography to visualize the extent of vascular malformation. Before the surgical procedures, surgical sites were devascularized by direct injection of hemostatic or embolic agents. Direct puncture sclerotherapy at the base of surgical sites was performed using Surgiflo or n-butylcyanoacrylate glue. Surgical procedures were carried out in routine fashion. A hemostatic packing of FloSeal, Gelfoam, and Avitene was adapted to the surgical sites. Results Direct puncture sclerotherapy with Surgiflo or n-butylcyanoacrylate glue resulted in minimal blood loss intraoperatively. Local application of the FloSeal, Gelfoam, and Avitene packing sustained hemostasis and produced excellent healing postoperatively. Conclusion Patients with arteriovenous malformations can safely undergo routine oral and maxillofacial surgical procedures with minimal blood loss when appropriate endovascular techniques and local hemostatic measures are used by the interventional radiologist and oral and maxillofacial surgeon. |
| Databáze: | OpenAIRE |
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