El Kohen A, Benjelloun A, El Quessar A, El Hassani M R, Benchekroun L, Lazrak A, Jazouli M, Kzadri N
Service d'ORL et de Chirurgie Maxillo-Faciale, Hôpital des Spécialités, CHU Avicenne, Rabat, Maroc.
Rev Stomatol Chir Maxillofac. 2003 Dec;104(6):334-40.
The classification of superficial vascular anomalies of the face recognizes two major categories: hemangiomas and vascular malformations. A multidisciplinary approach to these malformations is necessary. MRI of venous vascular malformations, pulsed Doppler and arteriography of arteriovenous malformations are key examinations in the exploration strategy for superficial vascular malformations. Hemangiomas always regress. Surgery is generally needed only for late sequelae although in some cases early surgery is beneficial. Percutaneous sclerotherapy and surgery are indicated for venous malformations in order to minimize or improve skin, muscle and bone distorsions. Arteriovenous malformations are the most dangerous vascular anomalies of the face. Superselective arterial embolization prepares the surgical excision of the nidus, complete resection is essential. We review 6 cases of superficial vascular malformations of the face treated surgically and discuss the diagnosis features and the treatment modalities of these vascular anomalies.
血管瘤和血管畸形。对这些畸形采用多学科方法很有必要。静脉血管畸形的MRI、动静脉畸形的脉冲多普勒检查和动脉造影是浅表血管畸形探查策略中的关键检查。血管瘤总会消退。虽然在某些情况下早期手术有益，但一般仅在后期出现后遗症时才需要手术。经皮硬化疗法和手术适用于静脉畸形，以尽量减少或改善皮肤、肌肉和骨骼的畸形。动静脉畸形是面部最危险的血管异常。超选择性动脉栓塞为手术切除病灶做准备，完整切除至关重要。我们回顾了6例接受手术治疗的面部浅表血管畸形病例，并讨论了这些血管异常的诊断特征和治疗方式。
