Vascular changes of the head and neck

2018 ◽  
Vol 1 (1) ◽  
pp. 24-30
Author(s):  
Zbigniew Krasiński ◽  
Aleksandra Krasińska
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Therapeutic Options ◽  
Vascular Lesions ◽  
Vascular Changes ◽  
Aesthetic Appearance ◽  
The Face ◽  
Proper Diagnosis ◽  
The Aesthetic

Many types of vascular changes on the face can be treated after proper diagnosis in such a way as to take into account the behavior of the aesthetic appearance. There are many different congenital vascular lesions in the skin, but they are mainly vascular malformations and hemangiomas. The paper presents the characteristics of changes and therapeutic options.

scholarly journals Role of sclerotherapy in management of low flow vascular malformations

2021 ◽  
Vol 8 (4) ◽  
pp. 1234
Author(s):  
Manpreet Kaur ◽  
Parul Sachdeva ◽  
Rajan Syal ◽  
Savijot Singh
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Neck Region ◽  
Low Flow ◽  
Vascular Lesions ◽  
Surgical Removal ◽  
Complete Regression ◽  
Head And Neck Region ◽  
Life Threatening

Background: Low flow vascular malformations are most common in the head and neck region. Only symptomatic malformations require treatment. Sclerotherapy followed by surgery was considered the gold standard treatment but in the head and neck region, it may produce cosmetic and physiological defects. In the present study, multiple injections of sclerotherapy with 3% sodium tetradecyl sulphate was used for the treatment of low flow vascular malformations.Methods: Twenty cases of low flow vascular malformations of the oral cavity who presented in the outpatient department of ESIC Model Hospital, Ludhiana from 2014-2016 were selected for the study. Only significantly sized (>4 cm) and easily accessible lesions were included. Staged sequential sclerotherapy with 3% STS under strict fluoroscopy control was used as the sole treatment.Results: A total of 20 patients were taken of which, 25% required three sessions, 65% five to six sessions each and 10% required eight sessions each. All patients showed good results with complete regression and no mucosal ulceration.Conclusions: Staged sequential sclerotherapy with 3% STS should be the treatment of choice in low flow vascular lesions involving mucosal and cutaneous structures of head and neck region especially anterior two-thirds of tongue, palate, gingiva, buccal mucosa and lips. Surgical removal may affect critical neurovascular structures and cause cosmetic deformity. So the removal is advisable in life-threatening conditions, lesions requiring general anaesthesia and single sitting removal.

scholarly journals Determination of cephalometric parameters, which usually do not change during surgical and orthodontic treatment depending on facial types according to Garson in Ukrainian young men and young women with orthognathic occlusion

2020 ◽  
pp. 18-23
Author(s):  
I. Yu. Drachevska ◽  
М. О. Dmitriev ◽  
Perera Clifford ◽  
V. M. Shevchenko ◽  
I. V. Gunas
Keyword(s):  
Young Women ◽  
Orthodontic Treatment ◽  
Young Men ◽  
Modern Medicine ◽  
Need For Treatment ◽  
Aesthetic Appearance ◽  
Morphological Index ◽  
The Face ◽  
The Aesthetic ◽  
Facial Types

Aesthetics is one of the key elements that accompanies modern medicine, in particular, dentistry. The need for treatment not only eliminates the symptoms of the disease but also leads to the restoration or improvement of the aesthetic appearance of the person, and especially the face, gave impetus to the development of new areas of science and technology. An important step in the implementation of such treatments is experimental research to identify the norm for certain categories of the population, primarily according to sex and ethnic group. The aim of the study was to establish the characteristics of cephalometric parameters in Ukrainian young men and young women with orthognathic occlusion, which usually do not change during surgical and orthodontic treatment, depending on sex and facial types. On the basis of the clinic "Vinintermed" teleroentgenography was performed using a dental cone-beam tomograph Veraviewepocs 3D Morita (Japan). Cephalometric examination of lateral teleroentgenograms in 46 young men (aged 17 to 21 years) and 72 young women (aged 16 to 20 years) with orthognathic occlusion was done. The type of face was determined according to the morphological index of Garson. The evaluation of parameters that usually do not change during surgical and orthodontic treatment was performed in the licensed package "Statistica 6.0" using non-parametric methods of evaluation of the results. The percentile ranges of cephalometric parameters, which usually do not change during surgical and orthodontic treatment depending on the facial types of Ukrainian young men and young women with orthognathic occlusion has been established. Pronounced manifestations of sexual dimorphism of cephalometric parameters, which usually do not change during surgical and orthodontic treatment (higher values in young men) are established only for most linear dimensions (values of distances NS, Ar-Go, N-Se, N-CC, P-PTV and S-Ar) in representatives of different types of faces. Both between young men and young women with different face types, there are almost no reliable or tendencies of differences in cephalometric parameters, which usually do not change during surgical and orthodontic treatment.

scholarly journals THE ANALYSIS OF DEFECTS AND REPAIR METHODS OF THE FRONT LAYER OF BRICKWORK OF MULTILAYER WALLS ON THE EXAMPLE OF A RESIDENTIAL BUILDING IN PERM

2019 ◽  
Vol 10 (2) ◽  
pp. 40-50
Author(s):  
Y. S Izbitskaya ◽  
S. V Kaloshina ◽  
D. G Zolotozubov
Keyword(s):  
Thermal Characteristics ◽  
Residential Building ◽  
Longitudinal Reinforcement ◽  
Expansion Joints ◽  
Face Layer ◽  
Cladding Layer ◽  
Aesthetic Appearance ◽  
The Face ◽  
Horizontal Expansion ◽  
The Aesthetic

The article discusses the problem of defects in the front layer of brickwork of multilayer walls. At many facilities constructed using the technology of laminated masonry with brick facing, after several years of operation, defects such as vertical cracks in the masonry face layer and destruction of the bricks of the face layer begin to appear. These defects violate the aesthetic appearance of the building, reduce the thermal characteristics of the external walls, and, in some cases, can lead to the collapse of certain sections of the brick cladding layer. This problem is considered on the example of a 10-storey residential building with external multilayer walls, located in Perm. The building was commissioned in 2005, but already in 2010, many defects of the front layer of masonry were discovered. The article provides data obtained during surveys carried out in 2010 and 2019. The main defects of the external masonry verst are described, among which one can distinguish the destruction of the masonry face layer, vertical cracks, the absence of stitching along the supporting corner of the masonry, and the absence of expansion joints. The main causes of damage are associated with numerous deviations from the project. The results of calculating the outer verst of brickwork for eccentric compression are presented. As measures aimed at eliminating defects, the article describes possible methods of repairing the face masonry: the installation of vertical and horizontal expansion joints, longitudinal reinforcement and anchoring with BIT rods to prevent the development of vertical cracks and destruction of the masonry.

Sclerotherapy for Benign Cystic Lesions of the Head and Neck: Systematic Review of 474 Cases

2021 ◽  
pp. 019459982110004
Author(s):  
Guy Talmor ◽  
Brandon Nguyen ◽  
Ghayoour Mir ◽  
Ido Badash ◽  
Rachel Kaye ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Vascular Malformations ◽  
Complete Response ◽  
Vascular Lesions ◽  
Cochrane Library ◽  
Laryngeal Edema ◽  
Cystic Lesions ◽  
Duct Cyst ◽  
Meta Analyses

Objective The role of sclerotherapy for vascular lesions of the head and neck is well established. However, the efficacy of sclerotherapy for benign cystic lesions of the head and neck is less clear. The objective of this review is to determine the efficacy and safety of sclerotherapy for benign cystic lesions of the head and neck. Data Sources PubMed/MEDLINE, Cochrane Library, and Embase. Review Methods The PRISMA guidelines (Preferred Reporting Systems for Systematic Reviews and Meta-analyses) were followed for this systematic review. Studies of patients with benign head and neck cystic masses treated primarily with sclerotherapy were included. Thirty-two studies met criteria for inclusion. Results A total of 474 cases of sclerotherapy were reviewed. Agents comprised OK-432, ethanol, doxycycline, tetracycline, and bleomycin. Lesions in the analysis were ranula, thyroglossal duct cyst, branchial cleft cyst, benign lymphoepithelial cyst, parotid cyst, thoracic duct cyst, and unspecified lateral neck cyst. A total of 287 patients (60.5%) had a complete response; 132 (27.9%) had a partial response; and 55 (11.6%) had no response. OK-432 was the most widely utilized agent, with a higher rate of complete response than that of ethanol (62.0% vs 39.4%, P = .015). Fifty-three cases (11.2%) required further surgical management. One case of laryngeal edema was reported and managed nonoperatively. Conclusion Sclerotherapy appears to be a safe and efficacious option for benign cystic lesions if malignancy is reliably excluded. Efficacy rates are comparable to those of sclerotherapy for vascular malformations. The rate of serious complications is low, with 1 incident of airway edema reported in the literature.

scholarly journals The Association of Extracranial and Intracranial Vascular Malformations in Children

1985 ◽  
Vol 12 (2) ◽  
pp. 139-148 ◽  
Author(s):  
Ignacio Pascual-Castroviejo
Keyword(s):  
Vascular Malformations ◽  
Cerebral Arteries ◽  
Capillary Hemangioma ◽  
Cerebral Vessels ◽  
Vascular Lesions ◽  
Trigeminal Artery ◽  
Angiographic Study ◽  
Cavernous Hemangiomas ◽  
The Face ◽  
Nevus Flammeus

ABSTRACT:This review is an attempt to relate the types of angiomas and other cutaneous vascular lesions appearing in the face with abnormalities in the formation of cerebral vessels including arteries at their origin, veins and venous sinuses, and with other less constant alterations that affect other organs, particularly the heart and cerebellum. After angiographic study of a series of patients exhibiting diverse types of vascular nevi (capillary and cavernous hemangiomas, nevus flammeus, and lymphangiomas), a correlation was established for each type of dermal nevus with a corresponding group of intracranial vascular anomalies. An explanation of these malformations based on the embryological development of the principal cerebral vessels during the 7th and 8th weeks of gestation is offered. Involvement of the facial and scalp dermatome innervated by the first sensory trigeminal branch correlates most consistently with the presence of abnormal cerebral vessels. The capillary hemangioma occurs preferentially in girls and frequently is associated with developmental anomalies of major cerebral arteries characterised by the absence of some adult vessels and the persistence of others that should have disappeared during embryogenesis such as the fetal trigeminal artery. The complete angiographic exploration of the cerebral vessels from their origin in the aortic arch to the phase of intracranial venous evacuation may reveal unexpected important findings, and is recommended for children with majorfacial vascular nevi, even if they are neurologically asymptomatic.

scholarly journals Multiple Venous Malformations with Phleboliths: Radiological-Pathological Correlation

2013 ◽  
Vol 3 ◽  
pp. 13 ◽  
Author(s):  
Venkateswara Rao Chava ◽  
Ashwini Naveen Shankar ◽  
Naveen Shankar Vemanna ◽  
Sudheer Kumar Cholleti
Keyword(s):  
Head And Neck ◽  
Clinical Symptoms ◽  
Vascular Malformations ◽  
High Flow ◽  
The Body ◽  
Low Flow ◽  
Venous Malformations ◽  
Congenital Lesions ◽  
The Face ◽  
Histopathologic Findings

Vascular malformations are congenital lesions that are present at birth and do not regress. However, they often present later in life. They are subdivided into two categories: (1) slow- or low-flow and (2) fast- or high-flow malformations. Low-flow malformations contain combinations of capillary, venous, and lymphatic components. Venous malformations can occur anywhere in the body, but are most frequently seen in the head and neck (40%). These lesions present in a variety of ways, from a vague blue patch to a soft blue mass, which may be single isolated or may occur in multiple areas. Treatment depends on the type of lesion, the location, degree of involvement, and the clinical symptoms. Here we are report the imaging and histopathologic findings in a patient with multiple venous malformations affecting the left side of the face and trunk.

scholarly journals Cosmetic Tattooing of Free Flaps following Head and Neck Reconstruction

2013 ◽  
Vol 6 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Martin D. Batstone ◽  
Carly M. Fox ◽  
Mary E. Dingley ◽  
C. Peter Cornelius
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Free Flaps ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
No Donor ◽  
Neck Reconstruction ◽  
The Face ◽  
The Aesthetic ◽  
The One

Free flap reconstruction of the head and neck is a widespread procedure. The aesthetic outcome is frequently compromised by color mismatch between the donor site skin and the complex pigmentation of the face. Various surgical procedures have been described to improve the appearance of external skin paddles. Medical tattooing is commonly used for nipple pigmentation in breast reconstruction and cosmetic procedures such as permanent makeup. This article describes the technique and its application to head and neck reconstruction. Medical tattooing can be used to improve the cosmetic appearance of head and neck free flaps. There is no donor site morbidity and subtle changes in color can be replicated. The article describes the technique of medical tattooing with the use of illustrative cases. Medical tattooing is a viable alternative for improving the appearance of cutaneous skin paddles following head and neck reconstruction with free flaps. Its advantages include no donor site morbidity, availability of an infinite range of colors, no requirement for general anesthesia, and the ability to use multiple colors in the one flap for complex pigmentation requirements. Its disadvantages include the need for specialized skills and equipment and the fading of color over time.

scholarly journals Imaging Spectrum of Hemangioma and Vascular Malformations of the Head and Neck in Children and Adolescents

2014 ◽  
Vol 4 ◽  
pp. 31 ◽  
Author(s):  
Venkatraman Bhat ◽  
Paul C Salins ◽  
Varun Bhat
Keyword(s):  
Head And Neck ◽  
Vascular System ◽  
Vascular Malformations ◽  
Imaging Techniques ◽  
Management Strategies ◽  
Image Data ◽  
Neck Region ◽  
Vascular Lesion ◽  
Vascular Lesions ◽  
Vascular Tumors

Vascular lesions of the head and neck region in children constitute an interesting group of lesions that benefit immensely from imaging techniques. Imaging is essential for identification, characterization, and delineation of the extent of lesion and subsequent follow-up. Infantile hemangiomas, which are vascular tumors with a specific evolution pattern, constitute a large majority of these lesions. On the other hand, there are vascular malformations, which are anomalies of the vascular system, consisting of a range of vascular tissues associated with various flow patterns. When diagnosis is clinically evident, imaging should utilize non-radiation techniques and address the issues necessary for management. Timing and interpretation of imaging methods employed in assessing childhood vascular lesion should also take into consideration the natural history so that imaging is performed to address a specific question. This review highlights the typical appearance of a hemangioma and a group of vascular malformations of the head and neck. For descriptive purpose, an attempt has been made to group lesions into specific subsites, with each one having specific clinical significance. Cases included illustrate the spectrum of the disease ranging from classical form in young children to slightly differing manifestations of the disease in adolescents and adults. The illustrations also provide a novel way of presenting image data using volume-rendering techniques of 3D data. Multi-modality team interaction and management strategies of these complex lesions are also emphasized.

Psychology of a Smile in Aesthetic Dentistry

Diogenes ◽  
2020 ◽  
Vol 28 (1) ◽  
Author(s):  
Tome Tasevski ◽  
◽  
◽  
Keyword(s):  
Geometric Shape ◽  
Facial Features ◽  
Aesthetic Appearance ◽  
The Face ◽  
The Aesthetic ◽  
Psychological Knowledge ◽  
Aesthetic Dentistry ◽  
Ethnic Variations ◽  
Insight Into

The perfect aesthetic appearance of the mouth is expressed first and foremost with the help of a beautiful, pearly smile, which in its essence is synonymous with beauty as a universal image and which requires balanced proportions, while at the same time constantly awakening a state of pleasant feelings. The aesthetic components of a smile imply an insight into the essence of harmony and beauty of the face in order to highlight the geometric shape of the face as well as the various ethnic variations. Aesthetic dentistry is based on psychological knowledge as it is defined as a set of procedures for creating harmony between the facial features of the face and the mouth.

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