Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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A Review of the Current State and Future Directions for Management of Scalp and Facial Vascular Malformations

  • Emma Hartman (Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School) ;
  • Daniel M. Balkin (Department of Plastic & Oral Surgery, Boston Children's Hospital, Harvard Medical School) ;
  • Alfred Pokmeng See (Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School)
  • Received : 2024.02.06
  • Accepted : 2024.04.16
  • Published : 2024.05.01
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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.

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References

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