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Hämangiome und vaskuläre Malformationen im Kopf- und Halsbereich

Differenzialdiagnostik, Klassifikation und Therapie

  • Pädiatrische Neuroradiologie
  • Published:
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Zusammenfassung

Die Behandlung von Kindern und jugendlichen Patienten mit vaskulären Anomalien im Kopf- und Halsbereich erfordert die interdisziplinäre Zusammenarbeit von Pädiatern, Mund-, Kiefer- und Gesichtschirurgen, Dermatologen und Radiologen.

Grundlage der gemeinsamen Therapieentscheidung ist eine international anerkannte Klassifikation vaskulärer Anomalien. Danach werden Hämangiome als proliferierende Neubildungen von vaskulären Malformationen als anlagebedingte Fehlbildungen unterschieden. Nach Hämodynamik und Gefäßbett teilen wir letztere in langsam durchströmte kapilläre, lymphatische oder venöse Malformationen und in rasch durchflossene arteriovenöse Malformationen ein.

In dieser Arbeit wird ein Algorithmus zur klinischen und bildgebenden Diagnostik vaskulärer Anomalien vorgestellt. Die Indikationen zur Behandlung werden diskutiert und die Therapieoptionen erläutert.

Abstract

The treatment of paediatric patients with extended vascular anomalies in the head and neck requires a multidisciplinary approach involving paediatricians, maxillofacial surgeons, dermatologists and radiologists. Therapeutic strategies are based on an internationally accepted classification of vascular anomalies, which distinguishes haemangiomas and vascular malformations.

Whereas haemangiomas are endothelial proliferations, vascular malformations are considered to be developmental anomalies which are classified into high-flow or low-flow lesions and, according to their vascular channels, into capillary, lymphatic or venous malformations.

In this review we present guidelines for the diagnostic assessment of paediatric patients with vascular anomalies in the head and neck region. The indications for treatment are discussed and therapeutic options are outlined.

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Authors and Affiliations

  1. Abteilung für Neuroradiologie, Radiologische Klinik

    U. Ernemann & E. Grönewäller

  2. Klinik und Poliklinik für Mund- Kiefer- und Gesichtschirurgie

    J. Hoffmann, C. Adam & S. Reinert

  3. Hautklinik

    H. Breuninger

  4. Klinik für Kinderheilkunde und Jugendmedizin

    H. Rebmann

  5. Abteilung für Neuroradiologie, Radiologische Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen

    U. Ernemann

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  1. U. Ernemann
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  2. J. Hoffmann
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  3. E. Grönewäller
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Correspondence to U. Ernemann.

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Ernemann, U., Hoffmann, J., Grönewäller, E. et al. Hämangiome und vaskuläre Malformationen im Kopf- und Halsbereich. Radiologe 43, 958–966 (2003). https://doi.org/10.1007/s00117-003-0965-9

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  • DOI: https://doi.org/10.1007/s00117-003-0965-9

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