Clinical and imaging features of intraosseous arteriovenous malformations in jaws: a 15-year experience of single centre

Sci Rep. 2020 Jul 21;10(1):12046. doi: 10.1038/s41598-020-68967-3.

Abstract

Intraosseous arteriovenous malformations in jaws (j-AVMs) are rare congenital high-flow vascular anomalies with a high tendency of life-threatening haemorrhage and are regarded as one of the most dangerous haemorrhagic diseases in maxillofacial region. Pre-treatment clinical and imaging evaluations serve as the most important diagnostic modalities. A retrospective study involved 211 patients with j-AVMs from November 2003 to November 2017 was performed. The male-to-female ratio of j-AVMs was approximately 4:3. The mean age of the patients with j-AVMs is 21.86. Bleeding was the main complaint associated with j-AVMs. J-AVMs occurred in the mandible more often than in the maxilla (64.93% and 32.23%, respectively). Most j-AVMs (95.26%) occurred in the posterior teeth region. Classical imaging features of j-AVMs included: an unclear maxillary sinus with a mild ground-glass appearance (maxillary j-AVMs) and a clear oval or irregular lucency that is mostly centred on the root of the first molar (mandibular j-AVMs) on OPGs, enhancement in the cancellous bone on contrast-enhanced CTs. Other atypical features of j-AVMs were also concluded. A comprehensive diagnose system based on clinical and imaging features of j-AVMs could provide valuable reference data for clinical management of j-AVMs and help avoid improper iatrogenic trauma or delayed treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Arteriovenous Malformations / diagnostic imaging*
  • Arteriovenous Malformations / pathology*
  • Child
  • Child, Preschool
  • Diagnostic Imaging* / methods
  • Female
  • Humans
  • Image Enhancement
  • Jaw / blood supply*
  • Male
  • Middle Aged
  • Phenotype*
  • Radiography, Panoramic
  • Symptom Assessment
  • Tomography, X-Ray Computed
  • Young Adult