Abstract ARTERIOVENOUS fistulas of the face and neck are rare clinical entities but do occur either as congenital disorders or as the result of trauma. Flynn and Mulder1 define the congenital arteriovenous fistula as a nontraumatic vascular abnormality in which the arterial blood passes into the venous system without traversing the capillary bed. This type of arteriovenous fistula shows gradual progression throughout life and is believed to result from the persistence of multiple communications between artery and vein beyond the embryonic period. The traumatic variety is recognized by a single communication between the artery and vein and is found in larger vessels. Trauma may be initiated by penetrating injuries, compound fractures, or injuries incidental to surgical procedures. Rarely, a blunt force may initiate the traumatic incident. When an adjacent artery and vein are traumatized, a hematoma may form proximal to the injured vessels and an endothelial channel develops which diverts References 1. Flynn, P., and Mulder, D.G.: Congenital Arteriovenous Fistulas , West J Surg 67:31, 1959. 2. Longmire, W.P., Jr., and Cannon, J.A.: " Blood Vessels ," in Cole, W.H., and Zollinger R.M. (eds.): Textbook of Surgery , ed 8, New York: Appleton Century Crofts, 1963. 3. Halsted, W.S.: Congenital Arteriovenous and Lymphaticovenous Fistulae , Amer J Surg 37:262, 1919. 4. Reed, M.R.: Studies on Abnormal Arteriovenous Communications, Acquired and Congenital , Arch Surg 10:601, 1965.Crossref 5. Lewis, D.: Congenital Arteriovenous Fistulae , Lancet 2:621-680 ( (Sept 20) ) 1930.Crossref 6. Clay, R.C., and Blalock, A.: Congenital Arteriovenous Fistulas in the Mandible , Surg Gynec Obstet 90:543, 1951. 7. Gage, M.: Congenital Arteriovenous Aneurysm of Right External Carotid Artery and Posterior Facial Vein , Ann Surg 134:444, 1951.Crossref 8. Schwartz, G.F., and Rankow, R.M.: Traumatic Arteriovenous Fistula of the Facial Artery, Read before the 21st Annual Meeting of the American Society of Maxillofacial Surgeons, Durham, NC, April 20, 1967 , Plast Reconstr Surg 40:453, 1967.Crossref 9. Naunton, R.F., and Hemenway, W.J.: Case of Neurofibromatosis Presenting as Acute Surgical Emergency , Arch Otolaryng 72:369-375, 1960.Crossref 10. Bell, D., and Cockshott, W.P.: Angiography of Traumatic Arteriovenous Fistulas , Clin Radiol 16:241, 1965.Crossref
Archives of Otolaryngology – American Medical Association
Published: Aug 1, 1968
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