Three-dimensional CT angiography for the diagnosis and assessment of arteriovenous malformations in the oral and maxillofacial region

J Craniomaxillofac Surg. 2010 Jan;38(1):32-7. doi: 10.1016/j.jcms.2009.10.021. Epub 2009 Nov 27.

Abstract

Objective: The purpose of this study was to evaluate the diagnostic performance of three-dimensional computed tomography angiography (3D-CTA) for arteriovenous malformations (AVMs) in the oral and maxillofacial region.

Materials and methods: Sixty four-slice spiral CT angiography of oral or maxillofacial region was performed in 8 patients with surgically proven arteriovenous malformations. The morphologic features, size, location, boundary, and feeding and draining vessels of lesions were reviewed.

Results: AVMs in 5 patients were located in the soft tissues and 3 were in the mandible. CTA of all cases showed tangles of disorganized vessels with well-defined borders. The feeding and draining vessels were enlarged and tortuous. Four patients had bone involvement.

Conclusion: Sixty four-slice spiral CTA can accurately demonstrate the morphological characteristics of AVMs.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Angiography / instrumentation*
  • Angiography / methods
  • Arteriovenous Malformations / diagnostic imaging*
  • Arteriovenous Malformations / surgery
  • Cheek / blood supply
  • Cheek / diagnostic imaging
  • Cheek / surgery
  • Female
  • Humans
  • Image Interpretation, Computer-Assisted / methods
  • Imaging, Three-Dimensional*
  • Male
  • Mandible / blood supply
  • Mandible / diagnostic imaging
  • Mandible / surgery
  • Middle Aged
  • Mouth / blood supply*
  • Mouth / diagnostic imaging
  • Mouth / surgery
  • Sensitivity and Specificity
  • Tomography, Spiral Computed / methods*
  • Tongue / blood supply
  • Tongue / diagnostic imaging
  • Tongue / surgery
  • Young Adult