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Use of Three-Dimensional MRI-Angiography in Preoperative Evaluation and Postoperative Management of Hemangiomas of Head and Neck Region.
MedLine Citation:
PMID:  21959441     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Hemangiomas (proliferating endothelial tumors) are the most common benign tumors of infancy. Most often hemangiomas are self-regressing lesions without any treatment. Approximately 10% of hemangiomas cause complications such as major ulceration/destruction, distortion of involved tissues, and obstruction of a vital structure. When the situation becomes complicated, there are different treatment alternatives, ranging from systemic or local corticosteroid use to surgery. Sclerotherapy using intralesional polidocanol (Aethoxysklerol) injection may be used before surgery to decrease blood loss or when a vital structure of the face is in danger because of sudden increase in size of a surrounding hemangioma. Before any kind of treatment for both hemangiomas and vascular malformations, preoperative diagnosis and anatomic position of the lesion must be documented thoroughly. With the help of magnetic resonance imaging, tridimensional vascular pattern of such lesions can be shown successfully. We used three-dimensional contrast-enhanced time-resolved magnetic resonance angiography to detect the changes of lesions for 2 children who have large hemangiomas on their faces, before and after sclerotherapy with polidocanol injection. The findings of three-dimensional magnetic resonance imaging studies help to better assess the success rate of treatment not only for us as the physicians but also for the parents of these children who cannot understand anything with standard two-dimensional radiologic imaging.
Authors:
Kahraman Berkhan Ylmaz; Halil Ibrahim Canter; Ibrahim Vargel; Tugrul Ormeci; Ulas Can; Ali Turk; Ozlem Saygili
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  22     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1814-8     Citation Subset:  D    
Affiliation:
From the *Department of Plastic and Reconstructive Surgery, Acibadem University Faculty of Medicine, Istanbul; †Department of Plastic and Reconstructive Surgery, Kırıkakle University Faculty of Medicine, Kirikkale; ‡Department of Radiology, Acibadem Health Care Group, Bakirkoy Hospital; and §Department of Radiology, Acibadem University Faculty of Medicine, Istanbul, Turkey.
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