Challenges in the management of massive intraorbital and hemifacial arteriovenous malformation as causing life-threatening epistaxis

• Main Authors: Manuel, A.M., Kalimuthu, S., Pathmanathan, S.S., Narayanan, P., Zainal Abidin, Z., Azmi, K., Khalil, A.A.
• Format: Article
• Published: Elsevier 2017
• Subjects: R Medicine
• Online Access: http://eprints.um.edu.my/19099/; http://dx.doi.org/10.1016/j.asjsur.2013.09.011
• Institution: Universiti Malaya

Arteriovenous malformations are congenital lesions that may evolve with time and manifest in a plethora of presentations. They can occur as torrential epistaxis when it extensively involves the facial region. Multi-imaging modalities are available to assist in characterizing the structure of the lesion as well as its location and extent. This complex disease requires a multidisciplinary team approach with preoperative embolization and surgery. We present a rare cause of life-threatening epistaxis in a gentleman with a longstanding orbital and hemifacial arteriovenous malformation and discuss the complexities involved in its management.