Morgan Patrick, Keller Robert, Patel Krishna
Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina.
Facial Plast Surg. 2016 Apr;32(2):162-76. doi: 10.1055/s-0036-1581141. Epub 2016 Apr 20.
Vascular malformations of the head and neck are complex lesions that are notoriously difficult to manage. Treatment of these lesions often requires a multispecialty and multimodal approach. In the modern era of evidence-based medicine, it has become imperative for clinicians to incorporate evidence-based treatment algorithms into their everyday practices. With general widespread inundation of the literature with levels IV and V clinical evidence, however, it is often difficult to draw meaningful conclusions that can be practically applied to the clinical question at hand. When asking how best to manage the most common vascular malformations, we are faced with this large volume of lower level studies conducted in drastically different ways without consistency in outcomes reporting, thus making direct comparison nearly impossible. Furthermore, much of the evidence shows mixed results, adding to confusion over what the optimal evidence-based treatment approaches truly are. In attempt to derive consensus from available literature discussing the management of vascular malformations, we reviewed the current literature detailing modern-day treatment approaches for lymphatic malformations, venous malformations, and arteriovenous malformations of the head and neck.
头颈部血管畸形是复杂的病变， notoriously难以处理。这些病变的治疗通常需要多专业和多模式的方法。在循证医学的现代时代，临床医生将循证治疗算法纳入日常实践变得势在必行。然而，随着IV级和V级临床证据在文献中的普遍广泛充斥，往往很难得出能够实际应用于手头临床问题的有意义的结论。当询问如何最好地处理最常见的血管畸形时，我们面临着大量以截然不同的方式进行的低水平研究，结果报告不一致，因此几乎不可能进行直接比较。此外，许多证据显示结果参差不齐，这增加了关于最佳循证治疗方法究竟是什么的困惑。为了从讨论血管畸形管理的现有文献中得出共识，我们回顾了详细介绍头颈部淋巴管畸形、静脉畸形和动静脉畸形现代治疗方法的当前文献。
