Intraoral Venous Malformation-A Case report

2021 ◽  
pp. 80-82
Author(s):  
B.V Subhash ◽  
Alba Dinesh ◽  
Seema Patil ◽  
Asha R Iyengar ◽  
Revan Kumar Joshi ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Vascular Anomalies ◽  
Venous Malformations ◽  
Wide Spread ◽  
Facial Area ◽  
Ct And Mri

The vascular anomalies consist of vascular tumours and vascular malformations. One among these are the venous malformations which constitute about 40% of all vascular malformations. Usually, the venous malformations present as localized lesions in the form of swellings/nodules with phleboliths, are diagnosed by ultrasonography, CT and MRI. Summary: This is a report of a rare longstanding case of wide spread venous malformations of oral cavity and facial area with phleboliths.

scholarly journals Vascular Anomalies (Part I): Classification and Diagnostics of Vascular Anomalies

2018 ◽  
Vol 190 (09) ◽  
pp. 825-835 ◽  
Author(s):  
Maliha Sadick ◽  
René Müller-Wille ◽  
Moritz Wildgruber ◽  
Walter Wohlgemuth
Keyword(s):  
Classification System ◽  
Vascular Malformations ◽  
Color Doppler ◽  
Vascular Anomalies ◽  
Endothelial Cell Proliferation ◽  
Vascular Tumors ◽  
Interdisciplinary Management ◽  
Venous Malformations ◽  
Medical Evaluation ◽  
Malformation Syndromes

Background Vascular anomalies are a diagnostic and therapeutic challenge. They require dedicated interdisciplinary management. Optimal patient care relies on integral medical evaluation and a classification system established by experts in the field, to provide a better understanding of these complex vascular entities. Method A dedicated classification system according to the International Society for the Study of Vascular Anomalies (ISSVA) and the German Interdisciplinary Society of Vascular Anomalies (DiGGefA) is presented. The vast spectrum of diagnostic modalities, ranging from ultrasound with color Doppler, conventional X-ray, CT with 4 D imaging and MRI as well as catheter angiography for appropriate assessment is discussed. Results Congenital vascular anomalies are comprised of vascular tumors, based on endothelial cell proliferation and vascular malformations with underlying mesenchymal and angiogenetic disorder. Vascular tumors tend to regress with patient’s age, vascular malformations increase in size and are subdivided into capillary, venous, lymphatic, arterio-venous and combined malformations, depending on their dominant vasculature. According to their appearance, venous malformations are the most common representative of vascular anomalies (70 %), followed by lymphatic malformations (12 %), arterio-venous malformations (8 %), combined malformation syndromes (6 %) and capillary malformations (4 %). Conclusion The aim is to provide an overview of the current classification system and diagnostic characterization of vascular anomalies in order to facilitate interdisciplinary management of vascular anomalies. Key Points  Citation Format

scholarly journals Sirolimus for the treatment of vascular anomalies in children

2020 ◽  
Vol 7 (3) ◽  
pp. 22-31
Author(s):  
E. K. Donyush ◽  
Z. A. Kondrashova ◽  
Yu. A. Polyaev ◽  
R. V. Garbuzov
Keyword(s):  
Vascular Malformations ◽  
Venous Malformation ◽  
Antiangiogenic Therapy ◽  
Pneumocystis Pneumonia ◽  
Response To Therapy ◽  
Vascular Anomalies ◽  
Vascular Tumors ◽  
Treatment Regimens ◽  
Transplant Patients ◽  
Results Of Treatment

Vascular anomalies (VA) comprise a heterogeneous group of diseases associated with congenital angiogenesis disorder. There are no currently developed unified protocols and treatment regimens for systemic forms of VA. Numerous advantages show sirolimus, an mTOR inhibitor, as a well tolerated and effective antiproliferative and antiangiogenic therapy in patients with VA. The article presents the results of treatment of 211 patients with VA (6 patients with vascular tumors and 205 patients with vascular malformations) aged 2 months to 17 years (median – 9 years), who received sirolimus therapy for 1–86 months (median – 24 months). Sirolimus was administered at a starting dose of 0.8 mg/m2/day orally in two doses with an interval of 12 hours. The concentration of the blood preparation was maintained in the therapeutic range of 6–15 ng/ml. Since 2015, concomitant therapy with co-trimoxazole for the prevention of Pneumocystis pneumonia has been prescribed only to tracheostomy carriers. When infectious episodes occurred in patients, sirolimus therapy continued without changes in the dose of the drug and did not affect the disease, provided that the therapeutic concentration was maintained. A positive response to therapy was observed in 89.1 % of patients with VA in the form of the size of the vascular mass according to the data of visual examination and instrumental control. All patients showeda clinical response to therapy in the form of relief of painsyndrome, reduction/relief of lymphorrhea, reduction/improvement of hemostasis parameters, and an increase in functional activity and quality. For the entire observation period 2012–2020, when taking sirolimus, not a single severe adverse event occurring in post-transplant patients has been reported that would require discontinuation of the drug. The article presents two clinical cases of sirolimus use in the treatment of patients with kaposiform hemangioendothelioma and extensive venous malformation. Parents are encouraged to use the information in scientific research and publications.

scholarly journals Multiple Intraoral Venous Malformations In A Geriatric Patient- A Rare Case Report

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Case Report ◽  
Venous Malformation ◽  
Dorsal Surface ◽  
Diagnostic Procedures ◽  
Ventral Surface ◽  
Clinical Findings ◽  
Clinical Aspects ◽  
Venous Malformations ◽  
Arteriovenous Anastomosis ◽  
Rare Case Report

Venous malformation (VM) is defined as a simple malformation with slow flow and an abnormal venous network. This is caused by a disturbance in the late stages of angiogenesis (trunal stage) resulting in the persistence of arteriovenous anastomosis present during embryonic life. This case report describes an unusual case of multiple intraoral venous malformations with questionable augmentation. A 65 year-old female had reported with a complaint of discomfort in mouth since 8 years. Intraoral examination revealed presence of six spherical swellings (three on dorsal surface of tongue, one on ventral surface of tongue and two on left buccal mucosa) with bluish-violet hue, approximately 2 to 3 cm in diameter each. On the basis of history and clinical findings, vascular malformation was provisionally suspected. Adequate imaging established the diagnosis. A review of clinical aspects, diagnostic procedures as well as therapeutic options currently available for venous malformations are discussed in this article.

scholarly journals Vascular malformations: a hospital based study

2019 ◽  
Vol 7 (8) ◽  
pp. 2936
Author(s):  
Komanapalli Sunilkumar ◽  
Karthik Aithal ◽  
Unmesh Kumar Jena ◽  
Uma Prasad ◽  
Bhagyalakshmi Atla ◽  
...  
Keyword(s):  
Vascular Malformations ◽  
Tertiary Care ◽  
Vascular Anomalies ◽  
Imaging Features ◽  
Venous Malformations ◽  
Internal Elastic Lamina ◽  
Tertiary Care Centre ◽  
Vascular Neoplasms ◽  
Diagnostic Difficulties ◽  
Appropriate Therapy

Background: Vascular anomalies comprise a widely heterogeneous group of lesions. Diagnosis and management of these lesions present challenges to the surgeons, radiologists and histopathologists. Accurate classification of these lesions results in appropriate therapy. Aim of the study is to study the role of histopathology and histochemical stain in the diagnosis of vascular malformationMethods: The present study is a hospital based observational study on vascular malformations over a period of three years from 2016 to 2018 done in department of Pathology and Plastic Surgery at tertiary care centre, Visakhapatnam.Results: Out of 107 specimens of vascular anomalies received, 72 cases were vascular neoplasms, 35 were vascular malformations. Majority of the vascular malformations were seen in the cervicofacial region (43%) followed by extremities (37.1%). Most common malformation in the present study was arterio venous malformations (60%) followed by venous malformations (22.8%). Verhoeff’s VanGieson stain demonstrated discontinuity of internal elastic lamina in cases of arteriovenous malformation and helped in differentiating the lesions from capillary malformation and vascular tumors.Conclusions: Histopathology, special histochemical stains along with imaging features can be used to reduce diagnostic difficulties and in helping proper management of vascular malformations.

scholarly journals A Case Report of Bulky Venous Malformation in the Parapharyngeal Space

2020 ◽  
Vol 03 (01) ◽  
pp. e10-e15
Author(s):  
Yuki Sato ◽  
Takao Hamamoto ◽  
Takashi Ishino ◽  
Tsutomu Ueda ◽  
Masay Takumida ◽  
...  
Keyword(s):  
Head And Neck ◽  
Signal Intensity ◽  
Parapharyngeal Space ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Multimodality Treatment ◽  
High Signal ◽  
Venous Malformations ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced

AbstractVenous malformations commonly occur in the head and neck regions, in the mucous membrane of the nasal and oral cavities. Venous malformations are found in the extremities in 40% of cases, in the trunk in 20% of cases, and in the cervicofacial area in 40% of cases. However, they are rarely encountered in the parapharyngeal space. We report our experience of surgical treatment of a patient with this rare tumor. The patient was a 21-year-old man who presented with a left mandibular swelling and was admitted to a nearby hospital. He was referred to our hospital for examination and treatment. Contrast-enhanced computed tomography (CT) revealed a bulky tumor with some calcification in the parapharyngeal space; on contrast-enhanced CT, the tumor showed some enhanced effects in the arterial and venous phases. Additional enhancement magnetic resonance imaging (MRI) showed the lesion as low signal intensity on T1-weighted images and as high signal intensity on T2-weighted images, and contrast-enhanced MRI showed some enhanced effects of the lesion. Based on these findings, we suspected venous malformation and performed surgical excision. Histopathology confirmed the venous malformation, and the lesion was diagnosed as a cavernous angioma. Vascular malformations in the head and neck regions should be precisely diagnosed so that appropriate multimodality treatment can be undertaken.

Association of venous and true arteriovenous malformation: a rare entity among mixed vascular malformations of the brain

1995 ◽  
Vol 83 (1) ◽  
pp. 141-144 ◽  
Author(s):  
Bernhard Meyer ◽  
Armin P. Stangl ◽  
Johannes Schramm
Keyword(s):  
Arteriovenous Malformation ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Rare Entity ◽  
Venous Malformations ◽  
Content Type ◽  
Hemorrhagic Infarction ◽  
The Brain ◽  
Cerebrovascular Malformation ◽  
Fine Print

✓ In this article the authors report the case of a mixed cerebrovascular malformation in which a true arteriovenous malformation (AVM), harboring a nidus, is associated with a venous malformation that serves as the draining vein for the nidus. Despite the authors' preoperative rationale for exclusive extirpation of the AVM, an inadvertent injury and the obliteration of the venous malformation generated delayed postoperative neurological deterioration, which could clearly be attributed to venous hemorrhagic infarction. Because this is only the second instance of this type of mixed vascular malformation of the brain reported, which also underscores the concept of nonsurgical treatment of venous malformations, the authors discuss the diverse literature regarding mixed vascular malformations and the treatment of venous malformations.

scholarly journals Island Abdominal Skin Flap For Reconstruction Post Excision Defect Of Arterio-Venous Malformation In Labia Majora: A Case Report

2020 ◽  
Vol 6 (1) ◽  
pp. 254-257
Author(s):  
Jenny Indah Haryani ◽  
Ahmad Fawzy Mas’ud
Keyword(s):  
Case Report ◽  
Primary Closure ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Skin Flap ◽  
Surgical Excision ◽  
Reconstruction Procedure ◽  
Labia Majora ◽  
Good Cosmetic ◽  
One Year

Background : Arterio-venous malformations (AVMs) defined as high-flow vascular malformations of dysmorphic arterial and venous vessels. And connected directly to one another without an intervening capillary bed. The incidence is higher in females than male (3-5:1). Globally, there are only 5 cases of genital hemangiomas reported. Various treatment has been investigated, a recent topical treatment is the application of timolol. It has minimal adverse effects, easy administration, and good cosmetic outcomes. However, the effectiveness of timolol in vulvar cases remains unclear. Case Report : A one-year-old girl was brought by her mother with complaint of a lump in her child's genitals. The lump was appeared during the early days of her life and it was getting bigger gradually. A plastic surgeon performed excision and reconstruction procedure using the island abdominal flap technique. Discussion : Preserving vaginal function and perineal integrity is quite challenging, and cosmesis correspondingly less important. The patient underwent surgical excision and primary closure procedure in the labia majora region, followed with abdominal flap tunneled through the mons pubis. Conclusion: Surgical excision and primary closure are the most recommended procedure for overcoming genital lesion. A reconstruction using flap following the procedure resulted in a normal contour and well functioned genital.

Surgical Management of Venous Malformations

2007 ◽  
Vol 22 (6) ◽  
pp. 276-282 ◽  
Author(s):  
D A Loose
Keyword(s):  
Vascular Malformations ◽  
Venous Malformation ◽  
Multidisciplinary Treatment ◽  
Surgical Approaches ◽  
Interventional Treatment ◽  
Venous Malformations ◽  
Venous Flow ◽  
The Past ◽  
Surgical Methods ◽  
Haemodynamic Activity

Objectives Among vascular malformations, the predominantly venous malformations represent the majority of cases. They form a clinical entity and therefore need clear concepts concerning diagnosis and treatment. This paper presents an overview of contemporary classification as well as tactics and techniques of treatment. According to the Hamburg Classification, predominantly venous malformations are categorized into truncular and extratruncular forms, with truncular forms distinguished as obstructions and dilations, and extratruncular forms as limited or infiltrating. Methods The tactics of treatment represent surgical and non-surgical methods or combined techniques. Surgical approaches utilize different tactics and techniques that are adopted based on the pathologic form and type of the malformation: (I) operation to reduce the haemodynamic activity of the malformation; (II) operation to eliminate the malformation; and (III) reconstructive operation. As for (I), a type of a tactic is the operation to derive the venous flow. In (II), the total or partial removal of the venous malformation is demonstrated subdivided into three different techniques. In this way, the infiltrating as well as the limited forms can be treated. An additional technique is dedicated to the treatment of a marginal vein. Approach (III) involves the treatment of venous aneurysms, where a variety of techniques have been successful. Results Long-term follow-up demonstrates positive results in 91 % of the cases. Conclusion Congenital predominantly venous malformations should be treated according to the principles developed during the past decades in vascular surgery, interventional treatment and multidisciplinary treatment. The days of predominantly conservative treatment should be relegated to the past. Special skills and experiences are necessary to carry out appropriate surgical strategy, and the required operative techniques should be dictated by the location and type of malformation and associated findings.

scholarly journals Multifocal Cerebral Venous Malformations and Associated Developmental Venous Anomalies in a Case of Blue Rubber Bleb Nevus Syndrome

2003 ◽  
Vol 9 (2) ◽  
pp. 169-176 ◽  
Author(s):  
J.I. Chung ◽  
H. Alvarez ◽  
P. Lasjaunias
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Central Nervous System Involvement ◽  
Sporadic Case ◽  
Venous Malformations ◽  
Cns Involvement ◽  
Venous Anomalies ◽  
Developmental Venous Anomalies

We report a sporadic case of probable BRBN (blue rubber bleb nevus syndrome) with multiple CNS (central nervous system) involvement. These features consisted of multiple VMs (venous malformations) and DVAs (developmental venous anomalies) in supratentorial brain, cerebellum, and diencephalon. Since its first description by Bean, there have been many cases of BRBN manifesting with gastrointestinal bleeding with or without associated hemorrhage. Cases with CNS involvement were rarely reported and many of the descriptions were confusing with different terminologies used to describe them such as capillary venous malformation, hemangiomas, and vascular malformations. The lesions illustrated are venous malformations similar to our case. The association of DVA was recognized in some cases; they are likely to be underestimated when revisiting the published case illustrations. Although our case is sporadic, the link with HHT1 is unlikely despite the involvement of the same chromosome (Ch 9).

Truncular vascular malformations in a varicose vein surgery patient cohort

VASA ◽  
2010 ◽  
Vol 39 (1) ◽  
pp. 54-58
Author(s):  
Mouton ◽  
Klippert ◽  
Wenning ◽  
Naef ◽  
Wagner
Keyword(s):  
Surgical Treatment ◽  
Varicose Vein ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Venous Disease ◽  
Venous Malformations ◽  
Varicose Vein Surgery ◽  
Patient Cohort ◽  
Surgery Patient ◽  
Hands And Feet

Background: To determine the incidence and significance of vascular malformations in a varicose vein surgery patient cohort in a prospective cohort study. Patients and methods: During a ten year time span we prospectively searched for patients with vascular malformations within a varicose vein surgery cohort. All patients underwent colour duplex sonography and surgery for symptomatic chronic venous disease or chronic venous insufficiency corresponding to clinical classes C2 to C6 according to CEAP. Results: Five out of 1488 patients had truncular vascular malformations. One patient had an arterio-venous malformation in the groin. Venous malformations were found in three marginal veins and one bone perforating vein. Two of these five patients had a mitral valve prolapse syndrome, one a persistent foramen ovale, one had a bone cyst in a finger and one ectromelia of the hands and feet, respectively. No complications occurred following surgical treatment of these five malformations. Conclusions: Truncular arterio-venous and venous malformations in a varicose vein surgery patient cohort are rare. In our cohort the hemodynamic impact of the vascular malformations was low, the surgical treatment combined with varicose vein surgery resulted in technical and clinical success.

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