Expert consensus on surgical treatment of hemangiomas and vascular malformations in the head and neck

doi:10.19438/j.cjoms.2024.02.001

China Journal of Oral and Maxillofacial Surgery ›› 2024, Vol. 22 ›› Issue (2): 105-117.doi: 10.19438/j.cjoms.2024.02.001

• Expert Consensus • Previous Articles Next Articles

Expert consensus on surgical treatment of hemangiomas and vascular malformations in the head and neck

WANG Yan-an¹, QIN Zhong-ping², ZHENG Jia-wei¹, LI Chun-jie³, LIU Shao-hua⁴, YANG Yao-wu⁵, CHEN Gang⁶, CHEN Wei-liang⁷, LIU Xue-jian⁸, DU Zhong¹, ZHANG Lei⁹, WANG Ye-fei¹⁰, WANG De-ming¹¹, SU Li-xin¹¹, XIE Feng¹², DONG Chang-xian¹³, GUO Lei¹⁴, LI Kai¹⁵, GU Song¹⁶, HE Yue¹, ZHANG Zhi-yuan¹

1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011;
2. Special Department of Hemangioma, Tumor Hospital of Linyi City. Linyi 276001, Shandong Province;
3. Department of head and neck oncology, West China Hospital of Stomatology. Chengdu 610041, Sichuan Province;
4. Department of Oral and Maxillofacial Surgery, Qilu Hospital, Shandong University. Jinan 250012, Shandong Province;
5. Department of Oral and Maxillofacial-Head and Neck Tumor Surgery, School of Stomatology, Air Force Medical University. Xi'an 710032, Shaanxi Province;
6. Department of Oral and Maxillofacial-Head and Neck Tumor Surgery, School of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
7. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital. Guangzhou 510120, Guangdong Province;
8. Department of Hemangioma Center, Shandong First Rehabilitation Hospital. Linyi 276029, Shandong Province;
9. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
10. Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
11. Department of Intervention Therapy, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
12. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
13. Department of Vascular Anomalies, Henan Provincial People's Hospital. Zhengzhou 450003, Henan Province;
14. Department of Vascular Anomalies and Interventional Radiology, Children's Hospital Affiliated to Shandong University. Jinan 250022, Shandong Province;
15. Department of Pediatric Surgery, Children's Hospital of Fudan University. Shanghai 201102;
16. Department of Pediatric Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine. Shanghai 200127, China

Received:2023-12-18 Revised:2024-01-04 Published:2024-03-27

Abstract

Abstract: Hemangiomas and vascular malformations are common benign vascular diseases in the head and neck region. The evolution and extensive implementation of non-surgical therapeutic modalities have resulted in considerable improvement or even total remission in a significant number of patients in minimally invasive or non-invasive procedures. Nonetheless, under certain circumstances, surgical treatment remains an irreplaceable treatment modality within the comprehensive treatment sequence for hemangiomas and vascular malformations in the head and neck. However, there is no established standard or consensus in the academic community on how to choose and apply surgical treatment. Therefore, to enhance the treatment efficacy of hemangiomas and vascular malformations amongst domestic peers, and to standardize surgical treatment protocols, this consensus brings together the discussion opinions of relevant experts from many medical schools and affiliated hospitals nationwide. Based on the latest domestic and international research results and diagnosis and treatment experience, we formulated this expert consensus from the aspects of preoperative diagnosis and preparation, surgical treatment indications and strategies, postoperative care and observation, common complications and treatment after surgery, follow-up and social psychological support. It is expected to be used in clinical practice and to guide relevant professional doctors carrying out treatment.

Key words: Head and neck region, Hemangiomas, Vascular malformations, Surgical treatment, Expert consensus

CLC Number:

R739.8

WANG Yan-an, QIN Zhong-ping, ZHENG Jia-wei, LI Chun-jie, LIU Shao-hua, YANG Yao-wu, CHEN Gang, CHEN Wei-liang, LIU Xue-jian, DU Zhong, ZHANG Lei, WANG Ye-fei, WANG De-ming, SU Li-xin, XIE Feng, DONG Chang-xian, GUO Lei, LI Kai, GU Song, HE Yue, ZHANG Zhi-yuan. Expert consensus on surgical treatment of hemangiomas and vascular malformations in the head and neck[J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(2): 105-117.

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Expert consensus on surgical treatment of hemangiomas and vascular malformations in the head and neck

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