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Hemangiomas of the maxillofacial area: Case Report, Classification and Treatment Planning

100%

Cortese A., Pantaleo G., D’Alessio G., Garzi A., Amato M.

Open Medicine

2014

vol. 10

issue 1

Vascular lesions of the maxillofacial area are even more challenging than in other different body district, because of the high aesthetic and functional relevance of this area for the sense organs presence like eye, brain, tongue, ear and nose. For these reasons, we propose an accurate classification based on hemodynamic and histologic aspects usefulthat is for diagnostic and therapeutic planning. A female, 60 years old patient came to our observation showing a vascular lesion of the lower left lip, and complaining for aesthetical and functional impairment. To confirm the diagnosis of vascular malformation and to detect lesion flow rate or other possible localization, a Tc red blood cell scintigraphy was carried out. Result was a venous low flow lesion; hence, sclerotherapy by a 3% Polidocanol solution (Atossisclerol) followed by surgery was planned. The aim of this work was to propose a diagnostic and therapeutic scheme with an integration of ISSVA and a flow rate classifications for a three-step planning based on 1) the biological findings in an early age at the lesion discover with a pharmacological treatment; 2) Hemodynamic study of the lesions at growing age followed by sclerotherapy or embolization; 3) Imaging study of these lesions for patients candidate to surgery when after step 1 and step 2 diagnostic and therapeutic planning results were incompletely successful.

Venous malformation of epiglottis and arterio-venous malformation of palate treated by sclerotherapy – case reports

75%

Białaczewski L., Maciaszczyk K., Supeł M.

Polski Przegląd Otorynolaryngologiczny

2016

vol. 5(4)

29-35

This study presents two rare clinical entities of vascular anomalies localized in the region of head and neck: the case of woman with venous malformation of the epiglottis and the man with the arterio-venous malformation of palate. Here in the title the term vascular malformation has been used because of conformity with the classification of International Society for the Study of Vascular Anomalies. Another, interchangeably used term hemangioma, defined according to Word Health Classification of Tumours, is more familiar in clinics. The foam sclerotherapy treatment has been reported with success. Microfoam prepared from polidocanol was injected directly into malformations. Large, ball-shaped laryngeal malformation decreased. In this case, sclerotherapy provides a good preparation for further surgery. Arteriovenous malformation of palate disappeared and there was no need for supplementary surgery. Authors did not observe any complications of the treatment.

Zastosowanie ultrasonografii wysokich częstotliwości w zamykaniu drobnych naczyń krwionośnych

51%

Mlosek R. K., Malinowska S.

Journal of Ultrasonography

2014

vol. 14

issue 58

320-327

One of the most common treatments performed in phlebological and aesthetic medicine clinics is closing small blood vessels in the lower extremities, so-called telangiectasias and reticular vessels. Currently, there are several methods that allow for closing the dilated vessels and obtaining desirable effects, both therapeutic and aesthetic. Unfortunately, despite applying various methods and instruments, the effects of treatments are frequently not satisfactory. The factor that largely contributes to decreasing the efficacy of such procedures is complicated anatomy of the venous system and the lack of a method to precisely specify the vessel’s course, its diameter, location in the skin etc. High-frequency ultrasonography is a method enabling accurate determination of the vessels’ course as well as the measurement of their basic parameters, such as diameter, depth in the skin and presence or absence of perfusion. Thanks to ultrasound imaging with the use of high-frequency transducers, an adequate treatment method and procedure parameters may be selected, which entails enhancing the efficacy of the procedure itself. Ultrasonography may be also used for monitoring the performed procedures.

Jednym z najczęściej wykonywanych zabiegów w gabinetach flebologicznych lub medycyny estetycznej jest zamykanie drobnych naczyń krwionośnych na kończynach dolnych, tj. teleangiektazji i naczyń siatkowatych. Obecnie dysponujemy kilkoma metodami, które pozwalają na zamknięcie poszerzonych naczyń krwionośnych i uzyskanie pożądanego efektu zarówno terapeutycznego, jak i estetycznego. Niestety, mimo stosowania różnych metod i urządzeń bardzo często efekty prowadzonych zabiegów nie są zadowalające. Czynnikiem, który w dużym stopniu przyczynia się do obniżenia skuteczności zabiegów, jest skomplikowana anatomia układu żylnego i brak metody pozwalającej na dokładne określenie przebiegu naczynia, jego średnicy, położenia w skórze etc. Metodą umożliwiającą precyzyjne określenie przebiegu naczyń, a także pomiar podstawowych parametrów, takich jak średnica naczynia, głębokość położenia w skórze, brak lub obecność przepływu w naczyniu, jest ultrasonografia wysokich częstotliwości. Dzięki ultrasonograficznemu obrazowaniu naczyń za pomocą głowic wysokich częstotliwości można dobrać odpowiednią metodę leczenia, parametry zabiegowe, a tym samym zwiększyć jego skuteczność. Ultrasonografia służy również do monitorowania wykonywanych zabiegów.

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1 Journal of Ultrasonography

1 Open Medicine

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1 Amato M.

1 Białaczewski L.

1 Cortese A.

1 D’Alessio G.

1 Garzi A.

1 Maciaszczyk K.

1 Malinowska S.

1 Mlosek R. K.

1 Pantaleo G.

1 Supeł M.

Search results

Hemangiomas of the maxillofacial area: Case Report, Classification and Treatment Planning

Venous malformation of epiglottis and arterio-venous malformation of palate treated by sclerotherapy – case reports

Zastosowanie ultrasonografii wysokich częstotliwości w zamykaniu drobnych naczyń krwionośnych