Congenital vascular lesions of the head and neck

Abstract

There is no universally acceptable classification method of treating congenital vascular lesions of the head and neck. An historical perspective, the hemodynamics of arteriovenous fistulas, and the various modalities of treatment are presented. The importance of superselective angiography in studying these lesions is emphasized. Embolization represents a major advance in the treatment of these patients and cooperation between head and neck surgeon and the vascular radiologist is encouraged. The evaluation and treatment of 66 patients with congenital head and neck vascular lesions are presented. The rationale for various types of treatment is reviewed.

Congenital vascular anomalies of the head and neck: interventional management in children

“…Interestingly, concern regarding appearance was the most common indication for intervention. This is consistent with previous reports [7,17,18].…”

“…The sex ratio (M:F) in haemangiomas in this study was 1:1.5 and in CM was 1:1.4. This compares with 1:3 ratio for all haemangiomas [3,6,11], and 1:1 for vascular malformations [6,18]. It appears that more males undergo treatment for haemangiomas of the head and neck than females.…”

Arteriovenous Malformation Pinna: Review of Literature

“…Partial excision usually leads to rapid recurrence; so in these cases, the remaining AVM tissue must be obliterated using intravascular embolization. 12 Reconstruction during the same procedure, using a split thickness graft and pedicle or free flap, is necessary for good cosmetic results. Patients should be followed up at regular intervals with a clinical examination and noninvasive imaging like color Doppler.…”

Psychological Impact of Cutaneous Congenital Vascular Lesions

“…They are classically divided into hemangiomas and vascular malformations; hemangiomas tend to spontaneously involute while vascular malformations tend to persist [2,3]. Congenital lesions are most commonly found on the head and neck and while many are benign isolated findings, some lesions may be part of a congenital syndrome such as Klippel-Trenaunay syndrome, Sturge-Weber syndrome and others [4][5][6]. Congenital vascular lesions, especially those found in readily visible sites, can lead to psychological distress for both the patient and family members secondary to perceived deformities or disfiguration [7].…”