Vascular Anomalies Review of the Head and Neck for Physicians in Training

Authors

  • Caleb M. Allred University of Washington School of Medicine https://orcid.org/0000-0002-0191-6825
  • Kaitlyn B. Zenner Department of Pediatric Otolaryngology, Cincinnati Children's Hospital, Cincinnati, OH 45229 https://orcid.org/0000-0002-5856-4357
  • Juliana Bonilla-Velez Division of Pediatric Otolaryngology, Seattle Children's Hospital, Seattle, WA, USA; University of Washington School of Medicine, Seattle, WA, USA; Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, WA, USA; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, 98101 https://orcid.org/0000-0002-7174-7609

DOI:

https://doi.org/10.5195/ijms.2024.2665

Keywords:

vascular anomalies, vascular tumors, vascular malformations, infantile hemangioma, PHACES syndrome, congenital hemangioma, lymphatic malformation, capillary malformation, Sturge Weber syndrome, venous malformation, ateriovenous malformation, propranolol, sclerotherapy, glue embolization

Abstract

A basic understanding of vascular anomalies will aid physicians-in-training as they seek to properly diagnose and determine interventions for these patient presentations. The aim of this review is to create a resource for physicians in training that encompasses the most important clinical aspects of vascular anomalies. Vascular anomalies of the head and neck are divided into two categories: vascular tumors and vascular malformations. This review will first describe vascular tumors followed by vascular malformations. This review discusses major pathology found in both categories of vascular anomaly. Vascular anomalies are frequently found in pediatric populations and can persist into adulthood, making it important for trainees to identify them on physical exam. This developing field seeks to improve form, function, and quality of life for patients with vascular anomalies and often requires a multidisciplinary approach (i.e., otolaryngology, dermatology, genetics, plastic surgery, interventional radiology). Various medical and surgical treatment options are available. A basic knowledge of these anomalies will allow for accurate, early diagnosis and appropriate intervention which can ultimately improve patient outcomes.  

Search Strategy and Selection Criteria: The MEDLINE/PubMed database was searched for primary research and reviews discussing various vascular anomalies which include infantile hemangioma, congenital hemangioma, pyogenic granuloma, tufted angioma, kaposiform hemangioendothelioma, capillary malformations, lymphatic malformations, venous malformations, and arteriovenous malformations. This search was conducted from 7/5/2023 to 3/21/2024.

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References

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The image titled "Infantile Hemangiomas" showcases different types of hemangiomas in infants: a segmental hemangioma on the arm (A), a superficial hemangioma on the forehead (B), a deep hemangioma on the back (C), a facial hemangioma linked to PHACES syndrome (D), and multiple hemangiomas (E) indicating increased risk of internal involvement. These examples highlight the varied presentations and potential complications of infantile hemangiomas​.

Published

2024-09-30

How to Cite

Allred , C. M., Zenner , K. B., & Bonilla-Velez, J. (2024). Vascular Anomalies Review of the Head and Neck for Physicians in Training. International Journal of Medical Students, 12(3), 284–293. https://doi.org/10.5195/ijms.2024.2665

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