Journal of Scientific Dentistry

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VOLUME 7 , ISSUE 1 ( January-December, 2017 ) > List of Articles

CASE REPORT

Low Flow Venous Malformation of the Buccal Mucosa Treated by Surgical Excision - A Rare Case Report

Sathyanarayanan R, Suresh V, Venugopalan V, Deepika S

Keywords : arteriovenous malformation, fat pad, reconstructive,surgical procedure

Citation Information : R S, V S, V V, S D. Low Flow Venous Malformation of the Buccal Mucosa Treated by Surgical Excision - A Rare Case Report. 2017; 7 (1):42-45.

DOI: 10.5005/jsd-7-1-42

License: CC BY-NC 4.0

Published Online: 00-06-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Low flow venous malformations are characteristic lesions with unique presenting features. The most common sites of occurrence are the cheek and the ear in the midface region. Most centres recommend sclerotherapy as the first line of treatment for low flow vascular malformations. We report a case of low flow vascular malformation in the buccal mucosa treated successfully by wide excision and reconstructed with buccal pad of fat. Case report: A 26 year old patient reported to our hospital with a painless swelling in the buccal mucosa. Under IV sedation patient underwent angiography via the femoral artery which showed no abnormal feeding vessels or draining veins. The lesion was treated by wide excision including the surrounding nidi, which was followed by reconstruction with buccal fat pad under general anaesthesia. The patient was followed up regularly and there was good take at recipient site and also there was no evidence of recurrence. Conclusion: Low flow venous malformations can be managed by surgical excision alone if there is no feeder vessel or very minimal uptake of the dye by a feeder vessel with the combined effects of a surgeon and vascular radiologist.


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