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Year : 2009  |  Volume : 11  |  Issue : 1  |  Page : 1-11

Hemangiomas and Vascular Malformations of the Head and Neck

1 Department of Otolaryngology, Head & Neck Surgery, Philipps University of Marburg, Germany
2 Department of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt
3 Department of Otolaryngology, Head & Neck Surgery, Karl-Hansen-Klinik, 33175 Bad Lippspringe, Germany

Correspondence Address:
MD Jochen A Werner
Dept. of Otolaryngology, Head and Neck Surgery, Philipps University of Marburg, Deutschhausstrasse 3 35037 Marburg
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275318

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The successful treatment of vascular anomalies is closely related to a sound knowledge of the biologic behaviour of vascular lesions and their correct classification. Based on the clinical progress, Mullicken and Glowacki developed a biological classification that was accepted as the official classification system of the International Society for the Study of Vascular Anomalies. (ISSVA) As a result of an extended literature research an overview will be given on the different internationally accepted treatment concepts. Even if a wait-and-see strategy can often be recommended in cases of uncomplicated hemangiomas of infants the rapid proliferative growth of such lesions requires an adequate therapy. In comparison to that vascular malformations that generally persist for lifetime require treatment, in particular when clinical symptoms occur. Based on individual parameters such as diameter, location, or growth behaviour different therapeutic measures might be successfully performed such as for example cryotherapy, corticosteroid application, laser therapy, sclerotherapy, operative interventions, and/or embolisation. However, none of the mentioned strategies represents the only treatment of choice.

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