Wiegand Susanne, Dietz Andreas
Laryngorhinootologie. 2021 Jan;100(1):65-76. doi: 10.1055/a-1221-5876. Epub 2021 Jan 5.
Vascular malformations are congenital anomalies of the vascular system that often affect the head and neck region. Vascular malformations are typically present at birth and proportionately grow with the patient. In contrast to vascular tumors, they are composed of dysplastic vessels rather than proliferating cells. The most commonly used classification is that of the International Society for the Study of Vascular Anomalies (ISSVA). According to this classification, simple malformations include venous, capillary, lymphatic, arteriovenous malformations, and arteriovenous fistulas. Symptoms depend on the affected anatomical structures and can range from swelling to life-threatening bleeding, airway obstruction or blindness. Management options for vascular malformations include conservative approaches, surgical intervention, sclerotherapy and embolisation as determined by type of malformation, location and associated complications. This article provides an overview of the major types of vascular malformations that affect the head and neck.
血管畸形是血管系统的先天性异常,常影响头颈部区域。血管畸形通常在出生时就存在,并随患者成比例生长。与血管肿瘤不同,它们由发育异常的血管而非增殖细胞组成。最常用的分类是国际血管畸形研究学会(ISSVA)的分类。根据这种分类,简单畸形包括静脉、毛细血管、淋巴管、动静脉畸形和动静脉瘘。症状取决于受影响的解剖结构,范围从肿胀到危及生命的出血、气道阻塞或失明。血管畸形的治疗选择包括保守方法、手术干预、硬化疗法和栓塞,具体取决于畸形的类型、位置和相关并发症。本文概述了影响头颈部的主要血管畸形类型。