下顎動静脈奇形治療後の舌欠損　構音の代償動作と可塑性について

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  • Compensatory Articulation after Loss of Tongue-In a Child with Mandibular AVM.
  • —In a Child with Mandibular AVM—
  • ―構音の代償動作と可塑性について―

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Mandibular arteriovenous malformation (AVM) can be a potentially lifethreatening pathology requiring radical treatment. We treated a 7-year-old female in whom digital subtraction carotid angiography revealed a large AVM originating in the left mandibular region and extending to the neck.<BR>Direct embolization of the AVM under partial extracorporeal circulation with hypothermic anesthesis brought definitive recovery except for lingual arterial obstructions. Unforunately, the body of her tongue had become necrotic.<BR>In this report, we describe how to treat mandibular AVM and how this patient made progress in compensatory articulations in the course of clinical evolution after loss of her tongue.

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