Abstract: PURPOSE: To summarize and analyze the effect of surgery in the treatment of hemangioma and vascular malformation in head and neck region. METHODS: From February 2009 to February 2013, for 38 cases with hemangiomas which poorly responded to conservative treatment or affected cosmetics and function, surgical resection was performed. For 155 cases with vascular malformations, including 126 cases of venous malformation, 17 cases of arteriovenous malformation, and 12 cases of venular malformation, pingyangmycin injection or electrochemical therapy in combination with high concentration of pingyangmycin or cerclage method combined with high concentration of pingyangmycin and embolism method or surgical resection were applied accordingly. RESULTS: All patients were followed up for 0.5-4 years after treatment. The clinical cure rate of hemangioma, venous malformation, arteriovenous malformation and venular malformation was 94.7%, 81.0%, 70.6% and 91.7%, respectively. There were fewer complications, and cosmetics and function improved remarkably. CONCLUSIONS: Surgery still plays an important role in the treatment of hemangioma and vascular malformation, with the advantages of short treatment time and higher curative effect.

Key words: Hemangioma, Vascular malformation, Surgery, Electrochemical therapy, Cerclage