Intraoral curettage without presurgical endovascular embolization: a simple but controversial treatment of arteriovenous malformations of the mandible.

Arteriovenous malformation of the mandible is a rare and life-threatening lesion. The gold standard treatment is to extirpate the lesion surgically after endovascular embolization. Preoperative endovascular embolization is widely accepted, but there are limitations to the treatment. The authors introduce a technique in which the lesion is divided into parts and filled with bone wax, then curetted step by step. This gradual curettage method is effective and could be used instead of the standard treatment especially in hospitals with limited facilities for endovascular embolization.