Arteriovenous malformations (AVMs) are vascular lesions that present as a direct communication between an artery and a vein without capillary connections but with a tangle of intervening vessels, known as the nidus {1, 2}. Extra-cranial AVMs are most commonly found in the head and neck region, more specifically in the scalp, cheek, ear and nose {1, 3}. The clinical presentations include cosmetic defects, pain, bleeding and ischemic ulceration {4}. The management of these lesions is challenging because of their unpredictable biologic behavior and high incidence of recurrence if not...