Management of Venous Malformations
Management of Venous Malformations
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DOI：
10.1055/s-0032-1329935
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发表时间：
2012-12-01
影响因子：
1
通讯作者：
Braswell, Leah
中科院分区：
文献类型：
--
作者：
Richter, Gresham T.;Braswell, Leah
静脉畸形（VM）常发生在头颈部，好发于腮腺、颌下三角、颊间隙、咀嚼肌、唇和上呼吸消化道。它们由先天性破裂的扩张静脉和不适当的连接和管状通道组成。由于VM具有不明确的边界和渗透正常组织的趋势，因此它们需要经过计算的治疗决策，以保护周围的结构。硬化疗法，手术切除，钕：钇铝石榴石激光治疗，或这些方式的组合是采用在VM的管理。虽然许多小的VM可以治愈，但目标通常是通过定期治疗来控制疾病。位置、大小和与重要结构的接近程度决定了所选择的治疗类型。长期随访的警惕性很重要。本文综述了目前的诊断和治疗方法，简单和广泛的颈面部VM。
Venous malformations (VMs) frequently occur in the head and neck with a predilection for the parotid gland, submandibular triangle, buccal space, muscles of mastication, lips, and upper aerodigestive tract. They are composed of congenitally disrupted ectatic veins with inappropriate connections and tubular channels. Because VMs have poorly defined boundaries and a tendency to infiltrate normal tissue, they require calculated treatment decisions in the effort to preserve surrounding architecture. Sclerotherapy, surgical excision, neodymium:yttrium aluminum garnet laser therapy, or a combination of these modalities is employed in the management of VMs. Although many small VMs can be cured, the objective is often to control the disease with periodic therapy. Location, size, and proximity to vital structures dictate the type of therapy chosen. Vigilance with long-term follow up is important. This review outlines current diagnostic and therapeutic approaches to simple and extensive cervicofacial VMs.