Traumatic facial arteriovenous malformations

G. Richard Holt, Jean Edwards Holt, Edwin A. Cortez, William R. Thornton, William C. Young

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Traumatic arteriovenous malformations (AVM) represent an abnormal communication between arteries and veins and are usually complex. They occur most commonly in the extremities and are noted most often in military casualties. Inthe literature there are approximately 25 cases of traumatic AVM of the facial region which are angiographically documented. To these are added five documented cases from this paper, one which was proven at surgery, and one which was suspected from classical signs and symptoms but not diagnosed. The trauma leading to the AVM may be: penetrating, blunt, postsurgical, or inflammatory. A swelling of the face, pulsatile tinnitus, throbbing headache and bleeding comprise the main presenting symptoms. A bruit and thrill are usually present. Doppler ultrasonography and selective arteriography will provide the essential diagnostic information. Embolization therapy may be a helpful preoperative adjunct or may be the total therapy if surgery cannot be performed.Proper identification of the feeder vessels, surgical control of these vessels, total excision of the AVM with functional and cosmetic reconstruction of the tissue defect remain the basic principles of therapy.

Original languageEnglish (US)
Pages (from-to)2011-2020
Number of pages10
Issue number12
StatePublished - Dec 1980

ASJC Scopus subject areas

  • Otorhinolaryngology


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