Annales de chirurgie plastique et esthetique · 2026
Superficial craniofacial arteriovenous malformations: A report of six cases and review of treatment modalities.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Bakhil A, Benbachir A, Sabani H, Khalfi L, Hamama J, El Khatib K
Аннотация
INTRODUCTION: Arteriovenous malformations are high-flow vascular malformations linked to the presence of abnormal connections between feeding arteries and draining veins. They are frequently located in the head and neck, with major functional and morphological repercussions.
MATERIALS AND METHODS: Retrospective and descriptive study of patients operated on in our department for craniofacial arteriovenous malformations.
RESULTS: Six patients: five male and one female, with lesions located in various areas: scalp, eyelid, infratemporal fossa and cheekbone. Treatment was standardised with preoperative embolisation and surgical excision of the arteriovenous malformation, except for two patients: one admitted as an emergency case for a ruptured AVM and the other for a superficial frontal AVM with surgically controllable feeding vessels, who were treated exclusively by surgery. The outcomes were straightforward with no signs of complications, and the loss of tissue was reconstructed using various repair techniques.
DISCUSSION: AVMs are congenital high-flow malformations, but may become apparent later in life and sometimes after trauma. They have a highly polymorphic presentation: red or purplish skin and subcutaneous swelling, sometimes keratotic, warm, pulsatile with a murmur and sometimes a "thrill"; the course is unpredictable, sometimes stabilising and sometimes worsening, which can quickly become life-threatening for the patient. The diagnosis is radiological and clinical, and treatment is often based on a combination of embolisation and surgery.
CONCLUSION: The ultimate complication of AVMs is heart failure, which is a sign of slow progression. We recommend early treatment to prevent complications from occurring.
MATERIALS AND METHODS: Retrospective and descriptive study of patients operated on in our department for craniofacial arteriovenous malformations.
RESULTS: Six patients: five male and one female, with lesions located in various areas: scalp, eyelid, infratemporal fossa and cheekbone. Treatment was standardised with preoperative embolisation and surgical excision of the arteriovenous malformation, except for two patients: one admitted as an emergency case for a ruptured AVM and the other for a superficial frontal AVM with surgically controllable feeding vessels, who were treated exclusively by surgery. The outcomes were straightforward with no signs of complications, and the loss of tissue was reconstructed using various repair techniques.
DISCUSSION: AVMs are congenital high-flow malformations, but may become apparent later in life and sometimes after trauma. They have a highly polymorphic presentation: red or purplish skin and subcutaneous swelling, sometimes keratotic, warm, pulsatile with a murmur and sometimes a "thrill"; the course is unpredictable, sometimes stabilising and sometimes worsening, which can quickly become life-threatening for the patient. The diagnosis is radiological and clinical, and treatment is often based on a combination of embolisation and surgery.
CONCLUSION: The ultimate complication of AVMs is heart failure, which is a sign of slow progression. We recommend early treatment to prevent complications from occurring.