This review outlines the rationale for tailoring treatment modalities (pharmacologic, laser, and surgical) to the specific type and natural history of head and neck vascular lesions.
Supports type-specific management of head and neck vascular lesions; leaves open prospective validation of tailored protocols.
The management of vascular lesions of the head and neck depends on the type, location, and extent of the pathology. Two major groups of vascular lesions exist: hemangiomas and vascular malformations. The treatment of hemangiomas is tailored to the natural history of these lesions as well as the degree of involvement of the tissues. Pharmacologic, laser, and surgical techniques are all employed. Vascular malformations and lymphatic malformations are treated based on a different natural history, primarily with laser techniques and surgery. The rationale of treatment modalities are reviewed.
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Hochman et al. (1999) studied this question.
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