頬部に生じた動静脈奇形の1例―3D‐CT angiographyの有用性―

  • 岩井 俊憲
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 松井 義郎
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 前川 二郎
    横浜市立大学附属病院形成外科
  • 安村 和則
    横浜市立大学附属病院形成外科
  • 小澤 知倫
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 藤内 祝
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学

書誌事項

タイトル別名
  • A case of arteriovenous malformation in the buccal region: usefulness of three-dimensional CT angiography
  • キョウブ ニ ショウジタ ドウジョウミャク キケイ ノ 1レイ 3D CT angiography ノ ユウヨウセイ
  • usefulness of three-dimensional CT angiography
  • 3D-CT angiographyの有用性

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抄録

Arteriovenous malformation (AVM) in the maxillofacial region is a rare, but potentially life-thereatening vascular lesion. Although AVM is usually diagnosed on angiography, the procedure is very invasive. We report the identification of AVM and feeding vessels on three-dimensional CT angiography (3D-CTA), which is minimally invasive.<BR>A 21-year-old man with a right buccal swelling was referred to our hospital. AVM was diagnosed on the basis of clinical signs and examinations such as ultrasonography, MR imaging, MR angiography, and CT. Angiography was not done. The vascular lesion was fed by two arteries (facial artery and infraorbital artery) in the right buccal region, clearly demonstrated on 3D-CTA. The patient underwent resection of the lesion and simultaneous reconstruction with a local flap. There was no evidence of recurrence 6 months after surgery.<BR>Three-dimensional CTA can identify feeding vessels and assess the extent of AVM. This method is useful for surgical planning, as well as preoperative diagnosis.

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