J Korean Neurosurg Soc.  2024 May;67(3):315-325. 10.3340/jkns.2024.0032.

A Review of the Current State and Future Directions for Management of Scalp and Facial Vascular Malformations

Affiliations
  • 1Department of Neurosurgery, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA
  • 2Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA Department of Plastic & Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

Abstract

Vascular malformations are structural abnormalities that are thought to result from errors in vasculogenesis and angiogenesis during embryogenesis. Vascular malformations of the scalp present unique management challenges due to aesthetic and functional implications. This review examines the pathophysiology, clinical presentation, and management techniques for six common types of vascular malformations of the face and scalp : infantile hemangioma, capillary malformations, venous malformations, lymphatic malformations, arteriovenous malformations, and arteriovenous fistulas. These lesions range from common to rare, and have very different natural histories and management paradigms. There has been increasing understanding of the molecular pathways that are altered in association with these vascular lesions and these molecular targets may represent novel strategies of treating lesions that have historically been approached from a structural perspective only.

Keyword

Vascular malformation; Capillary hemangioma; Arteriovenous malformation; Lymphatic abnormalities
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