Interdisziplinäres Konzept zur Diagnostik und Therapie gefäßreicher Fehlbildungen im Gesichts- und Halsbereich

Ernemann, Ulrike; Hoffmann, Jürgen; Breuninger, Helmut; Reinert, Siegmar; Skalej, Martin

doi:10.1007/s10006-002-0418-z

Cited by 23 publications

(7 citation statements)

References 25 publications

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“…Ultrasound with color-coded duplex displays high vessel density in symptomatic hemangiomas [27]. Cross-sectional Magnetic Resonance Imaging (MRI) characterizes vascular tumor extension with potential involvement of surrounding structures [28], [29].…”

Section: Resultsmentioning

confidence: 99%

Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies

Sadick

Wohlgemuth

Huelse

et al. 2017

European Journal of Radiology Open

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ObjectivesVascular anomalies are included in the 30 000 rare diseases worldwide affecting less than 5/10 000 people. Depending on their morphology and biological properties, they can cause varied disorders with organ involvement. Almost 60% of vascular anomalies have a predilection for the head and neck region in children. Clinical and scientific effort to establish interdisciplinary management concepts for vascular anomalies is increasing worldwide.MethodsEspecially in the head and neck region, clinical impairment and organ dysfunction is associated with cosmetic issues that may represent a physical and psychological issue for the patient. Correct diagnosis, based on clinical presentation and symptoms, is a prerequisite for appropriate therapy, ranging from conservative management to a spectrum of minimally invasive treatment options. We searched PubMed for German and English language published data until December 2016 with focus on clinical studies, review articles and case reports on vascular anomalies with a focus on the head and neck region.ResultsThe last ISSVA update in 2014 has contributed to a better understanding of vascular anomalies, classifying them in vascular tumors and vascular malformations. The predominant representatives of vascular tumors are congenital and infantile hemangiomas. Infantile hemangiomas have the ability of spontaneous regression in more than 80%. Patients with symptomatic growing hemangiomas with ulcerations, bleeding complications and restriction of hearing, swallowing disorder, impairment of vision, or cosmetic dysfigurement require treatment. Therapies include oral propanolol, transcatheter embolization and surgery. Vascular malformations tend to progress with patientś age and are subdivided in slow flow and fast flow lesions. Symptomatic slow flow lesions, e.g. venous and lymphatic malformations, benefit from percutaneous sclerotherapy. Fast flow lesions, as arteriovenous malformations, are rare but undoubtedly therapeutically the most challenging vascular anomaly. Depending on location and size, they may require multiple transcatheter embolization procedures for successful occlusion of the AVM.ConclusionsThis review provides knowledge on the current ISSVA classification of vascular anomalies, their clinical presentation, diagnostic evaluation and minimally invasive therapy options to encourage the establishment of a comprehensive interdisciplinary management for head and neck vascular anomalies.

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Section: Resultsmentioning

confidence: 99%

Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies

Sadick

Wohlgemuth

Huelse

et al. 2017

European Journal of Radiology Open

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“…Transarterial catheter angiography is required in order to visualize the architecture of the vascular malformation and the arterial supply and venous drainage of the surrounding structures prior to treatment. 7,17,18,19,20 Depending to the extension of the malformation and the associated involvement of surrounding tissue, minimally invasive interventions or surgical resection may be necessary.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous Malformation: An Unusual Reason for Foot Pain in Children

Kunze¹,

Kluba²,

Ernemann³

et al. 2009

FAOJ

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Case reportWe report the case of an 8 year-old boy who presented in 2008 with a one-year history of progressive left foot pain and local swelling without previous trauma. Weight-bearing activities exacerbated the pain.On clinical examination, a plantar soft tissue swelling with local paraesthesia and hypersensitivity was seen. The left foot was held in a relieving pes equinus posture.Magnetic resonance imaging (MRI) of the foot was performed. The swelling showed up as a vascular malformation with high uptake of contrast medium which stretched out intrafascially, intramuscularly and subcutaneously from the metacarpophalangeal joints to the tarsal bone. (Figs. 1 and 2)

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“…Im vorliegenden Fall wurde die Verdachtsdiagnose Hamartom gestellt, da die kongenitale Ausbildung 22 , 24 und das mit dem umliegenden Gewebe synchrone Wachstum 22 , 45 , 46 , 47 typische Merkmale dieses Befundes darstellen. Im Gegensatz dazu sind Hämangiome und Hämangiosarkome in der Regel durch schnelles und exzessives Wachstum gekennzeichnet 11 , 12 , 13 , 17 , 23 , 42 , 52 , 53 , 54 , 55 , 56 , 57 .…”

Section: Diskussionunclassified

Der klinische Fall: Chirurgische Entfernung einer pränatal entstandenen Proliferation

Swoboda¹,

Rötting²

2022

pferde spiegel

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DER KLINISCHE FALLEin 4 Wochen altes Fohlen mit einer angeborenen handballgroßen Umfangsvermehrung distal der linken Crista facialis wurde mit Anzeichen einer Septikämie in der Klinik vorgestellt. Hier wurde die Verdachtsdiagnose vaskuläres Hamartom mit Sekundärinfektion erhoben und eine chirurgische Therapie eingeleitet. Zwar entwickelte das Fohlen nachfolgend eine septische Arthritis beider Kniegelenke, dennoch konnte es als geheilt entlassen werden und wird heute uneingeschränkt als Reitpferd genutzt.

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Interdisziplinäres Konzept zur Diagnostik und Therapie gefäßreicher Fehlbildungen im Gesichts- und Halsbereich

Abstract: The interdisciplinary protocol increases diagnostic accuracy and helps to establish individual treatment plans for patients with extended vascular anomalies.

Cited by 23 publications

References 25 publications

Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies

Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies

Arteriovenous Malformation: An Unusual Reason for Foot Pain in Children

Der klinische Fall: Chirurgische Entfernung einer pränatal entstandenen Proliferation

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