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CT Imaging demonstrating the lesion of the left temporomandibular joint and mandible.. (a) - Axial plane, (b) - Sagittal plane, (c) - Coronal plane.
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As such the decision was taken to perform an incisional biopsy (Fig. 1).
Histology slides obtained.. (a) - Demonstrating capillary structures [2.5x power], (b) - Demonstrating larger vascular structures [2.5x power].
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Two histopathology consultants agreed that these findings were consistent with an AVM (Fig. 2).
3D planning render for the left temporomandibular joint.. (a)+(b) - Preoperative view demonstrating AVM extent [purple] and planned resection [red], (c)+(d) - Postoperative titanium prosthesis position.
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The CT scans obtained allowed for digital planning, design and manufacture of the titanium prosthesis (Fig. 3).