Experiences in managing arteriovenous malformations of the head and neck

Publication date: Available online 8 April 2016
Source:British Journal of Oral and Maxillofacial Surgery
Author(s): Kevin McMillan, Louise Dunphy, Hiroshi Nishikawa, Andrew Monaghan
Arteriovenous malformations of the head and neck are difficult to treat and require a multidisciplinary approach. Interventional radiology can now be used to downgrade previously inoperable lesions to enable ablation, and the use of Onyx® (Covidien, Irvine, CA, USA), which has revolutionised their management by allowing precise obliteration of the nidus, has enabled the aggressive management of lesions in compromised anatomical areas. We report a series of 31 patients with lesions on the head and neck. They all presented with serious symptoms (Schobinger grade 2-3) and had embolisation with Onyx®. Some had additional operations. We describe the outcome including complications, and offer some lessons learned from our experience.



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