Gianfranco Gaimari, Eloisa Fioravanti, Vito Cantisani, Raffaele Guerrisi, Gianluca Tenore, Umberto Romeo
Department of Dentistry and Oral Surgery, University "La Sapienza", Rome, Italy.
Department of Radiology, University "La Sapienza", Rome, Italy.
N Am J Med Sci. 2014 Jan;6(1):1-5. doi: 10.4103/1947-2714.125852.
In last few years, thanks to laser technology with minimally invasive approach, there was a growing need for treatment of oral vascular malformations inside the dental offices. Generally, the diagnosis of oral vascular malformations is based on clinical history, clinical examination and imaging exams. In the present paper, we review, researching by PubMed, the technical aspects, clinical indications, potentialities and limitations of color-Doppler ultrasound in the work-up of oral vascular malformations. Different imaging modalities are encountered for the diagnosis and follow-up of these lesions such as computed tomography, magnetic resonance imaging, color-Doppler ultrasound and angiography. To date, color-Doppler ultrasound is considered the first-line imaging approach since it provides a non-invasive, cost effective, real time evaluation of oral vascular anomalies. It provides both morphological and vascular information, which are useful to determine the best therapeutic options. Ultrasonography, for these reasons, could be considered as a valuable diagnostic tool in the preliminary assessment of oral vascular anomalies.
在过去几年中,由于采用微创方法的激光技术,牙科诊所对口腔血管畸形的治疗需求日益增加。一般来说,口腔血管畸形的诊断基于临床病史、临床检查和影像学检查。在本文中,我们通过PubMed进行检索,回顾了彩色多普勒超声在口腔血管畸形检查中的技术方面、临床适应证、潜力和局限性。对于这些病变的诊断和随访,会用到不同的成像方式,如计算机断层扫描、磁共振成像、彩色多普勒超声和血管造影。迄今为止,彩色多普勒超声被认为是一线成像方法,因为它能对口腔血管异常进行无创、经济高效的实时评估。它能提供形态学和血管方面的信息,有助于确定最佳治疗方案。因此,超声检查可被视为口腔血管异常初步评估中有价值的诊断工具。