Klap P, Hadjean E, Négrier B, Riche M C, Tran Ba Huy P
Chaire de Clinique O.R.L., Paris.
Ann Otolaryngol Chir Cervicofac. 1987;104(6):433-9.
Angioma of temporomasseteric region is a capillariovenous malformation in the temporomasseteric groove which can extend into adjacent facial zones. It forms a well defined clinicopathological entity. Clinically these angiomas present typical signs of a slow output capillariovenous angioma. Several patients were investigated by standard radiology, tomography and scan imaging, allowing detection of bony, particularly maxillary deformities, and by preoperative laboratory examinations. Treatment is by first stage embolization in situ of the angioma using sclerosing agents to reduce risk of perioperative bleeding and disseminated intravascular coagulation. The second surgical stage varies with the size and site of the lesion. Treatment should be carried out fairly early in childhood to avoid facial skeletal and muscular deformities. This hopefully allows harmonious growth of face with preservation of functions that risk alteration by the temporomasseteric angioma.
颞肌咬肌区血管瘤是颞肌咬肌沟内的一种毛细血管静脉畸形,可延伸至相邻面部区域。它形成一个界限清楚的临床病理实体。临床上,这些血管瘤表现出缓慢输出型毛细血管静脉血管瘤的典型体征。通过标准放射学、断层扫描和扫描成像对多名患者进行了检查,从而能够检测出骨骼尤其是上颌骨畸形,并进行术前实验室检查。治疗方法是使用硬化剂对血管瘤进行原位一期栓塞,以降低围手术期出血和弥散性血管内凝血的风险。第二阶段手术根据病变的大小和部位而有所不同。治疗应在儿童早期进行,以避免面部骨骼和肌肉畸形。这有望使面部和谐生长,同时保留可能因颞肌咬肌血管瘤而改变的功能。