Timothy J Martin1, Lotfi Hacein-Bey, John S Rhee. 1. Department of Otolaryngology, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA. tmartin@mcw.edu
Abstract
PURPOSE: We describe a patient presenting with a vascular mass of the lower lip with a history of traumatic lip-biting. The lesion was treated with preoperative intravascular embolic therapy and surgical excision. SUMMARY: Arteriovenous fistula (AVF) of the head and neck are vascular lesions with a single connection between the involved artery and vein. Trauma to the area, often in the distant past, is often seen as the inciting event. We describe a patient with a lower-lip AVF with repeated episodes of lip biting that caused expansion of the mass. The patient underwent preoperative embolic therapy and surgical excision with excellent functional and cosmetic outcome. CONCLUSION: Arteriovenous fistula of the lower lip can be successfully managed with preservation of lip function and cosmesis through combined intravascular and surgical therapy.
PURPOSE: We describe a patient presenting with a vascular mass of the lower lip with a history of traumatic lip-biting. The lesion was treated with preoperative intravascular embolic therapy and surgical excision. SUMMARY:Arteriovenous fistula (AVF) of the head and neck are vascular lesions with a single connection between the involved artery and vein. Trauma to the area, often in the distant past, is often seen as the inciting event. We describe a patient with a lower-lip AVF with repeated episodes of lip biting that caused expansion of the mass. The patient underwent preoperative embolic therapy and surgical excision with excellent functional and cosmetic outcome. CONCLUSION:Arteriovenous fistula of the lower lip can be successfully managed with preservation of lip function and cosmesis through combined intravascular and surgical therapy.