Nair S C
Maxillofacial Surgery Department, Bangalore Institute of Dental Sciences, Bangalore, India.
Maxillofacial Surgery Department, B M Jain Hospital, Bangalore, India.
J Maxillofac Oral Surg. 2018 Mar;17(1):1-12. doi: 10.1007/s12663-017-1063-2. Epub 2018 Jan 5.
Vascular anomalies of the head and neck region are a complex group of lesions that challenge the head and neck physicians. From the very understanding of the difference between its two distinct forms, hemangiomas and vascular malformations to its management remain confusing. The review of this anomaly attempts at comprehensively understanding the disease. Vascular anomalies are easily diagnosed by their clinical presentation, but choice of imaging and management for this spectrum of lesions is varied. The author attempts to categorize the required imaging for the lesion with suggestions on the management of both hemangiomas and vascular malformations. The available treatment options are discussed, and a comprehensive algorithm for management is suggested. Further research in developing drugs that could restrict the growth of these lesions would be the future of the management of vascular lesions.
头颈部血管异常是一组复杂的病变,对头颈部医生构成挑战。从对其两种不同形式——血管瘤和血管畸形的差异的理解到其管理,一直令人困惑。对这种异常情况的综述旨在全面了解该疾病。血管异常通过其临床表现很容易诊断,但针对这一系列病变的影像学选择和管理各不相同。作者试图对病变所需的影像学进行分类,并就血管瘤和血管畸形的管理提出建议。讨论了现有的治疗选择,并提出了一个全面的管理算法。开发能够限制这些病变生长的药物的进一步研究将是血管病变管理的未来。