Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, USA.
Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Semin Pediatr Surg. 2020 Oct;29(5):150968. doi: 10.1016/j.sempedsurg.2020.150968. Epub 2020 Sep 16.
The head and neck are the most common site of involvement for vascular tumors and malformations, with more than half of all vascular anomalies seen in this region. Lesions in this location can cause significant disfigurement and can be associated with airway obstruction, impairment in vision or hearing, swallowing disorders and hemorrhage. Accurate diagnosis is critical in determining treatment, and interdisciplinary care is essential for optimal management. We review clinical and imaging features that are key to establishing the correct diagnosis, and review treatment modalities, with emphasis on interventional and surgical procedures.
头颈部是血管肿瘤和畸形最常见的受累部位,超过一半的所有血管异常都可见于该区域。该部位的病变可导致明显的畸形,并可能与气道阻塞、视力或听力损害、吞咽障碍和出血有关。准确的诊断对于确定治疗方案至关重要,多学科的治疗是最佳治疗方案的关键。我们回顾了有助于明确正确诊断的临床和影像学特征,并复习了治疗方式,重点介绍了介入和手术治疗。