Document Detail


Management of adult facial vascular anomalies.
MedLine Citation:
PMID:  12739187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vascular anomalies are best classified by biologic behavior-active hemangiomas, and inactive vascular malformations. Hemangioma growth is restricted to infancy, but residual deformity may persist to adult life in the form of redundant skin, bulky fibrofatty tissue, and ectatic cutaneous vessels. Treatment largely consists of scar revision and laser photocoagulation of residual vascular pigmentation. Vascular malformations are present throughout life and can cause increasing facial distortion and disfigurement as capillaries, veins, lymphatics, and/or arteries further dilate and the facial features hypertrophy. A variety of treatment options include laser photocoagulation, sclerotherapy, embolization, and direct surgical excision, and often a combination of techniques yields improved results. In many cases, however, therapy is only palliative, and patients should be advised of the limitations of each treatment option to avoid unrealistic expectations and disappointing results.
Authors:
David W Low
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Facial plastic surgery : FPS     Volume:  19     ISSN:  0736-6825     ISO Abbreviation:  Facial Plast Surg     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-05-09     Completed Date:  2003-07-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405303     Medline TA:  Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-30     Citation Subset:  D    
Affiliation:
Division of Plastic Surgery, Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Malformations / therapy*
Cicatrix / etiology,  surgery
Embolization, Therapeutic
Face / blood supply*
Facial Neoplasms / complications*
Granuloma, Pyogenic / surgery
Hemangioma / complications*
Humans
Laser Coagulation
Lymphatic System / abnormalities
Port-Wine Stain / surgery*
Proteus Syndrome / surgery
Sclerotherapy
Telangiectasis / surgery
Veins / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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