Vascular Anomalies – Hemangiomas. Possibilities of their Diagnosis and Treatment

Czech version

Authors: I. Michalusová; T. Dostálová; J. Kozák; M. Hubáček
Authors‘ workplace: Dětská stomatologická klinika 2. LF UK a FN v Motole, Praha
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 111, 2011, 5, s. 94-100
Category: Review Article

Overview

Hemangiomas and vascular malformations represent the most common vascular anomalies of childhood. Anomalies occur in 10% of the children and they frequently involve head, neck and oral cavity. Traditional therapeutic management has been based on the assumption that hemangiomas will involute spontaneously by age of 5–7. Nevertheless, a significant minority of vascular anomalies do require a treatment since they possibly might to threat the patient’s life. During the past years there have been prominent advancements in the management and classification of anomalies. There are many treatments modalities. It is very important and also difficult to make a decision of when, how and why to intervene. We must always weigh the risks and benefits which each chosen therapy brings. Treatment options are different depending on the age of the patient, size and location of the tumor. Therapy is often combined, thus it demands liable multidisciplinary approach. This review aims to compare all risks and benefits of each chosen therapy.

The aim of this review reaches to remind the fact that hemangioma accordingly with the new classification is no longer the same term as vascular malformations. In addition it tries to clarify the clinical and histological facts on which it is possible to differentiate and accurately diagnose individual subtypes of vascular anomalies. And last but not least it refers to the possibilities of therapy, which worldwide seem to be a most appropriate for each type of anomalies.

Key words:
vascular anomalies – hemangioma – corticotherapy – surgical intervention

Sources

1. Bonet-Coloma, C., Minguez-Martínez, I., et al.: Clinical characteristics, treatment and outcome of 28 oral hemangiomas in pediatric patiens. Med. Oral Pathol. Oral Cir. Bucal., roč. 16, 2011, s. 19–22.

2. Boye, E., Jinnin, M., Olsen, B. R.: Infantile hemangioma:challenges, new insights and therapeutic promise. J. Craniofac. Surg., roč. 20, 2009, Suppl. 1., s. 678–684.

3. Buckmiller, L. M., Richter, G. T., et al.: Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Disease, roč. 16, 2010, s. 405–418.

4. Demiri, E. C., Pelissier, P., et al.: Treatment of facial haemangiomas: the present status of surgery. Br. J. Plast. Surg., roč. 54, 2001, s. 665–674.

5. Enjolras, O., Wassef, M., Chapot, R.: Color atlas of vascular tumors and vascular malformations. 1. ed., Cambridge: Cambridge university press, 2007, č. 4–7, ISBN 9780521848510.

6. Ezekowitz, R. A. B., Mulliken, J. B., et al.: Interferon-α-2a therapy for life-threatening hemangioma of infancy. N. Engl. J. Med., 326, 1992, s. 1456–1463.

7. Garzon, M. C., Drolet, B. A., Baselga, E., Chamlin, S. L., Haggstrom, A. N., Horii, K., et al.: Comparison of infantile hemangiomas in preterm and term infants: A prospective study. Arch. Dermatol., roč. 44, 2008, č. 9, s. 1231–1232.

8. Hidano, A., Purwoko, R., et al.: Statistical survey of skin changes of Japanese neonates. Pediatr. Dermatol., roč. 3, 1986, s. 140–144.

9. Chang, L. C., Haggstrom, A. N., et al.: Growth characteristics of infantile hemangiomas: implications for management. Pediatrics, 2008, roč. 122, s. 360–367

10. Cheung, D. S., Warman, M. L., et al.: Hemangioma in Twins. Ann. Plast. Surg., roč. 38, 1997, s. 269–274.

11. Chiller, K. G., Passaro, D., Frieden, I. J.: Hemangiomas of infancy: clinical characteristics, morphologic subtypes and their relationship to race, ethnicity and sex. Arch. Dermatol., roč. 138, 2002, s. 1567–1576.

12. Jinnin, M., Ishihara, T., Boye, E., Olsen, B. R.: Recent progress in studies of infantile hemangioma. J. Dermatol., roč. 37, 2010, s. 283–298.

13. Mazánek, J., Urban, F., a kol.: Stomatologické repetitorium. 1. vyd., Praha, Grada publishing, 2003, s. 209, ISBN 80-7169-824-5.

14. McHeik, J. N., Renauld, V., Duport, G., Vergnes, P., Levard, G.: Surgical treatment of hemangioma in infants. Br. J. Plast. Surg., roč. 58, 2005, s. 1067–1072.

15. Mulliken, J. B., Glowacki, J.. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial charakteristics. Plast. Reconstr. Surg., roč. 69, 1982, s. 412–422.

16. North, P. E., Waner, M., et al.: Are infantile hemangiomas of placental origin? Opthalmology, roč. 109, 2002, s. 633–634.

17. Pandey, A., Gangopadhyay, A. N., et al. Twenty years experience of steroids in infantile hemangioma – a developing country‘s perspective. J. Pediatr. Surg., roč. 44, 2009, s. 688–694.

18. Saleh, K. H. The steroid benefit in treating complicated hemangioma. Indian. J. Plast. Surg, roč. 42, 2009, s. 242–244.

19. Sangueza, O. P., Requena, L. Pathology of vascular skin lesions: clinicopatological cerrelations. In: Damjanov, I., ed. Current clinical pathology. Totowa: Humana Press, 2003, s. 136–150.

20. Sloan, G. M., Reinisch, J. F., et al. Intralesional Corticosteroid therapy for infantile hemangiomas. Plast. Reconst. Surg., roč. 83, 1989, s. 459–467.

21. Waner, M., North, P. E., et al. The non-random distribution of facial hemangiomas. Arch. Dermatol., roč. 139, 2003, s. 869–875.

22. Waner, M., Suen, J. Y. Hemangiomas and vascular malformations of the head and neck. 1. ed., Hoboken:Wiley, 1999, ISBN 978-0-471-17597-1.

23. Werner, J. A., Dünne, A. A., Folz, B. J., Rochels, R., Bien, S., Ramaswamy, A., Lippert, B. M. Current concepts in the classification, diagnosis and treatment of hemangiomas and vascular malformations of the head and neck. Eur. Arch. Otorhinolaryngol., roč. 258, 2001, s. 141–149.

24. Yu, Y., Flint, A. F., et al. Endothelial progenitor cells in infantile hemangioma. Blood, roč. 103, 2004, s. 1373–1375.

25. Zheng, J. W., Ye, W. M., et al. Current treatment of infantile hemangiomas: an overview of the literature. Shanghai Kou Yi Xue, roč. 17, 2008, č. 4, s. 337–347.

26. Zvulunov, A., Metzker, A. Hemangiomas and vascular malformations: unapproved treatments. Clin. Dermatol., roč. 20, 2002, s. 660–667.

Labels

Maxillofacial surgery Orthodontics Dental medicine

Malignant fibrous histiocytoma of the tongue

Complications Connected to Late Diagnosis of Mandible Dentigerous Cyst

Variability in Toll-like Receptor Genes and Their Relation to Occurrence of Periodontal Pathogens in Chronic Periodontitis

Article was published in

Czech Dental Journal

2011 Issue 5