Kugushev A.Yu., Lopatin A.V., Grachev N.S., Rogozhin D.V., Garbuzov R.V. Vascular malformations of the lower jaw in children, problems in diagnosis and treatment. Head and neck. Russian Journal. 2020;8(4):67–76 (In Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.
Introduction. Arteriovenous malformation (AVM) is an anomaly of vascular development, which is a tangle of intertwined arteries and veins, with absence of capillaries. Bone damage is a rare pathology, while the bones of the skull are affected in 50% of cases, including lower jaw. Treatment of vascular malformations is complex and time-consuming, and diagnosis is often difficult.
Material and methods. The authors analyzed the stages for correct diagnosis and the treatment options in three children who were treated in 2015–2019 in the Department of Oral and Maxillofacial Surgery.
Results. The diagnosis of AVM was made only after additional examination, which made it possible to choose an individual method of treatment for each patient, from local therapy to resection of the lesion with autobone plasty. Conclusion. Vascular malformations of bones are difficult to diagnose and potentially dangerous conditions, t he treatment of which should be carried out by a multidisciplinary team. Each case is unique, so there is no single approach to treatment, but in all cases, long-term follow-up is required due to the risk of relapse.
Key words: arteriovenous, malformation, fistula, fibrous dysplasia, ameloblastoma, odontogenic cyst, chronic osteomyelitis, giant cell reparative granuloma, lower jaw
Conflicts of interest. The authors have no conflicts of interest to declare.
Funding. There was no funding for this study.