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.

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.

Response of Vascular Lesions of the Head and Neck to Argon Laser Radiation

1983 ◽  
Vol 91 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Joseph R. DiBartolomeo
Keyword(s):  
Laser Radiation ◽  
Surgical Technique ◽  
Head And Neck ◽  
Excellent Result ◽  
Argon Laser ◽  
Vascular Lesion ◽  
Vascular Lesions ◽  
Hypertrophic Scars ◽  
Argon Ion

Argon laser radiation is used to treat congenital and acquired vascular lesions of the head and neck. Thirteen patients requiring a total of 36 treatments were followed up for a minimum of 1 year to assess the response of the vascular lesion to argon ion radiation. Of the 13 patients, 10 had an excellent result, with the lesion no longer being identifiable. Three of the patients had residual but minimal color remaining in the lesion. There were no complications or hypertrophic scars after 1 year of follow-up. The laser parameters used and the surgical technique followed are outlined.

scholarly journals Percutaneous sclerotherapy with gelified ethanol of low-flow vascular malformations of the head and neck region: preliminary results

2019 ◽  
Vol 25 (6) ◽  
pp. 459-464 ◽  
Author(s):  
Anna Maria Ierardi ◽  
◽  
Giacomo Colletti ◽  
Pierpaolo Biondetti ◽  
Margherita Dessy ◽  
...  
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Neck Region ◽  
Low Flow ◽  
Head And Neck Region ◽  
Preliminary Results ◽  
Percutaneous Sclerotherapy

scholarly journals An Isolated Phlebolith on the Lip: An Unusual Case and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Gabriela de Morais Gouvêa Lima ◽  
Renata Mendonça Moraes ◽  
Ana Sueli Rodrigues Cavalcante ◽  
Yasmin Rodarte Carvalho ◽  
Ana Lia Anbinder
Keyword(s):  
English Language ◽  
Unusual Case ◽  
Vascular Malformations ◽  
Masticatory Muscles ◽  
Vascular Lesion ◽  
Vascular Lesions ◽  
Common Finding ◽  
Oral Lesions ◽  
Review Of The Literature ◽  
Histological Characteristics

Background. Calcified thrombi are a common finding, especially in the pelvic veins. There are generally multiple thrombi, and they are generally associated with vascular malformations.Design. Herein we report a rare case of a single labial phlebolith, not associated with any other vascular lesion. We aim to alert clinicians to the possibility of the occurrence of vascular thrombi in the mouth and to describe the clinical and histological characteristics of such lesions in order to simplify the diagnosis and treatment. Furthermore, we have reviewed the English-language literature published since 1970 reporting oral (including masticatory muscles) phleboliths.Results. Twenty-nine cases of phleboliths have been reported in the literature since 1970. Only three of the reported phleboliths were solitary and not associated with other vascular lesions, as in the case presented here.Conclusion. Although phleboliths not associated with other vascular lesions are not common, clinicians should be aware of the existence of this pathology and include it as differential diagnosis of oral lesions.

Intracranial Head and Neck Tumors: Endovascular Considerations, Present and Future

Neurosurgery ◽  
2006 ◽  
Vol 59 (suppl_5) ◽  
pp. S3-251-S3-260 ◽  
Author(s):  
Rishi Gupta ◽  
Ajith J. Thomas ◽  
Michael Horowitz
Keyword(s):  
Blood Loss ◽  
Head And Neck ◽  
Neck Region ◽  
Chemotherapeutic Agents ◽  
Vascular Tumors ◽  
Preoperative Embolization ◽  
Head And Neck Region ◽  
Tumor Bed ◽  
Neck Tumors ◽  
Hypervascular Tumors

Abstract TO REVIEW THE literature on endovascular therapies available to clinicians to aid in the management of head, neck, and intracranial tumors. Hypervascular tumors of the head and neck region, as well as the intracranial region, are associated with large amounts of blood loss intraoperatively. Preoperative embolization of selected hypervascular tumors has been proposed in the literature as a method of reducing blood loss intraoperatively. This technique involves superselective catheterization of the feeding arteries to the tumor bed and then by infusion of embolic particles to saturate the tumor bed in the hopes of inducing necrosis. For less vascular tumors, selective infusion of chemotherapeutic agents has been reported as a method of reducing the systemic toxic effects of these medications. Endovascular therapies for hypervascular and less vascular tumors hold promise, although multicenter randomized controlled trials are required to help identify the patients that will benefit the most.

scholarly journals Grisel’s Syndrome: A Rare Complication following Adenotonsillectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Abdulkadir Bucak ◽  
Sahin Ulu ◽  
Abdullah Aycicek ◽  
Emre Kacar ◽  
Murat Cem Miman
Keyword(s):  
Head And Neck ◽  
Imaging Techniques ◽  
Rare Complication ◽  
Neck Region ◽  
Neck Surgery ◽  
Upper Respiratory Tract ◽  
Head And Neck Region ◽  
Grisel’S Syndrome ◽  
History Of ◽  
Or History

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible. Patients typically present with painful torticollis. Diagnosis of Grisel’s syndrome is largely based on suspicion of the patient who has recently underwent surgery or history of infection in head and neck region. Physical examination and imaging techniques assist in diagnosis. Therefore, clinicians should be aware of acute nontraumatic torticollis after recently applied the head and neck surgery or undergone upper respiratory tract infection. In this paper, a case of an eight-year-old male patient who had Grisel’s syndrome after adenotonsillectomy is discussed with review of the literature.

scholarly journals Immunohistochemical expression of endocan, as a marker of assessment of angiogenic potential in benign vascular lesions (hemangioma, lymphangioma and lobular capillary hemangioma) of head and neck region

2018 ◽  
Vol 30 (4) ◽  
pp. 61-64
Author(s):  
Jawaher M Tater ◽  
Bashar H Abdullah ◽  
Wisam A Hussain
Keyword(s):  
Endothelial Cell ◽  
Head And Neck ◽  
Vascular Malformation ◽  
Neck Region ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Vascular Lesions ◽  
Lobular Capillary Hemangioma ◽  
Head And Neck Region ◽  
Angiogenic Potential

 BACKGROUND: Vascular tumors are a heterogeneous group of diseases with biological behavior ranging from a hamartomatous growth to frank malignant. The pathophysiology of lymphangioma, vascular malformation and hemangioma is interconnected, blood vessels known to be the site of origin of hamartomas, venous malformations and some neoplasms as benign, tumor-like growth of vessels (hemangiomas). Angiogenesis is the process of formation of new blood vessels from an existing structure. Aims of study Assessment of angiogenic potential in benign vascular lesions (hemangioma, lymphangioma and lobular capillary hemangioma) of head and neck region.  Materials and Methods: Twenty-two formalin-fixed paraffin-embedded tissue blocks of Hemangioma/vascular malformation, thirty of lobular capillary hemangioma and another twenty of lymphangioma to be stained with Endothelial cell-Specific Molecule-1 (ESM-1) monoclonal antibody.       Results: Microvessel density expressed by Endothelial cell-Specific Molecule-1 (ESM-1) immunomarker was found in all cases with mean density of (37.44±23.16) for lobular capillary hemangioma and (25.02±13.89) for hemangioma and (6.34±3.52) for lymphangioma.  According to post hoc test ESM-1 marker expression showed a high significant difference between (hemangioma and lymphangioma=0.001), (lymphangioma, pyogenic granuloma=0.000), and it was significantly different between (hemangioma, pyogenic granuloma=0.011) Conclusions: The obvious capillary growth in lobular capillary hemangioma revealed that lobular capillary hemangioma showed the highest activity of angiogenic potential in comparison to hemangioma and lymphangioma.

scholarly journals Intralesional Sclerotherapy with Polidocanol in the Management of Head and Neck Vascular Lesions

2016 ◽  
Vol 24 (3) ◽  
pp. 136-140
Author(s):  
Arindam Das ◽  
Anindita Sengupta ◽  
Debashis Ghosh ◽  
Deepjoy Bose ◽  
Subhadip Dhara ◽  
...  
Keyword(s):  
Head And Neck ◽  
Local Anesthetic ◽  
Tertiary Care ◽  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Vascular Lesions ◽  
Care Hospital ◽  
Therapeutic Modalities ◽  
First Choice

Introduction Vascular lesions (Hemangioma or vascular malformation) in the head and neck region are quite common and need therapeutic intervention if they become symptomatic or cosmetically unacceptable. Different therapeutic modalities including cryotherapy, corticosteroids, laser therapy, sclerotherapy, surgery and/or embolization are available. Advances in laser surgery as well as sclerotherapy techniques have improved our ability to treat extensive lesions. Surgical excision sometimes becomes very difficult due to massive per-operative bleeding and proximity to major neurovascular structures. In this study we have tried to find a simpler, easily available, safe and cost-effective therapy to treat these vascular lesions. Materials and Method         A pilot case study was conducted in a tertiary care hospital in Kolkata for a period of one year. Polidocanol was selected as the sclerosing agent for treatment of head and neck vascular lesions for its safety and its local anesthetic effect. 3% Polidocanol was injected in 20 lesions. Result 20 patients with head and neck vascular lesions treated with polidocanol sclerotherapy were followed up for 12 months. The study included 20 patients (12 female and 8 male) with mean age 20.3 years (range 6-62 years). Of these 20 patients 14 had 90% to 100% result and in 6 patients we obtained only mild improvement. Discussion Sclerotherapy is now becoming the first choice of treatment in head and neck vascular lesions. Polidocanol is a mixture of 5% ethyl alcohol and 95% hydroxypolyethoxydodecane, the detergent action of which induces a rapid overhydration of endothelial cells, leading to vascular injury and regression of vascular lesions. As the same time it is a local anesthetic, so treatment is painless. Conclusion It is a less invasive, cost effective, painless OPD based management for head and neck vascular lesions having good functional and aesthetic outcome.

HEAD AND NECK VASCULAR ANOMALIES OUR CLINICAL EXPERIENCE AND LITERATURE REVIEW.

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 1-8
Author(s):  
Arulalan Mathialagan
Keyword(s):  
Literature Review ◽  
Head And Neck ◽  
Venous Malformation ◽  
Neck Region ◽  
Vascular Anomaly ◽  
Vascular Anomalies ◽  
Active Management ◽  
Vascular Tumors ◽  
Tertiary Referral Centre ◽  
Prompt Diagnosis

Abstract Background- Head and neck vascular anomalies are a spectrum of lesion ranging from simple asymptomatic malformations to life-threatening airway vascular tumors. Management of these lesion poses a real challenge to even most experienced otolaryngologists.Systematic evaluation and prompt diagnosis and judicial choice of treatment are essential for proper management of these lesions. Material and methods-A retrospective review of the head and neck vascular anomalies over three years, from 2017 to 2019 in a tertiary referral centre. Clinical features, radiology, treatment and follow-up data were studied.We did a literature review to give a comprehensive analysis regarding the diagnosis and treatment of the vascular anomalies of the head and neck region. Results- A total of 25 patients were managed in our department in two years. Of these 25 patients, three patients had infantile haemangioma(12%), six patient had congenital haemangioma(24%), six patients had lymphatic malformation(24%), four patient had an arteriovenous malformation (16%), and six patient had venous malformation (24%). Sixpatients (24%) underwent surgery as treatment, which includes one case of noninvoluting congenital hemangioma (NICH) of the temporal bone, one facial AVM, twolateral neck lymphangiomas, one skull base lymphangioma and a venous neck malformation. All the infantile h a ema n gi oma s we rema n a g e d w i t h o ra l propranolol, three lymphatic malformations underwent sclerotherapy, while the three Arteriovenous malformations (AVM), 􀃶ve congenital haemangiomas and four Venous malformations (VM) were under observation. Conclusion-Managing a vascular anomaly requires a prompt diagnosis based on the ISSVA classi􀃶cation, patients' symptoms and the location of the lesion. Not all vascular anomaly requires active management. Careful case selection and a multidisciplinary team are essential for adequate management of the vascular anomalies. Key Words: Vascular Malformation, Hemangioma, Lymphangioma

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.

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