Multimodality Management of Complex Periorbital Venolymphatic Malformations
| Autor: | Robert A. Goldberg, Sathyadeepak Ramesh, Daniel B. Rootman, Gary Duckwiler |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Vascular Malformations medicine.medical_treatment Ophthalmologic Surgical Procedures Lesion Biological Factors Young Adult 03 medical and health sciences 0302 clinical medicine Sclerotherapy medicine Humans Embolization Child Lymphatic Vessels business.industry Vascular malformation General Medicine Middle Aged medicine.disease Embolization Therapeutic Magnetic Resonance Imaging Ophthalmology Child Preschool 030221 ophthalmology & optometry Female Surgery Surgical excision Radiology medicine.symptom business Orbit Stepwise approach Follow-Up Studies |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 35:387-398 |
| ISSN: | 0740-9303 |
| Popis: | PURPOSE To review a representative case series and share a stepwise approach to the diagnosis and treatment of periorbital venolymphatic malformations. METHODS A case series of 9 patients with representative periorbital venolymphatic malformations. All patients managed at the University of California, Los Angeles Orbital Center for a vascular malformation over the last 5 years were reviewed. Cases representative of the varied pathologic findings and techniques were selected. The clinical, radiologic, and intraoperative findings are presented and a survey of techniques composed. RESULTS Venolymphatic malformations can have protean manifestations. Characteristics vital to the understanding and management of these lesions are the classification and vascular composition of the lesion, internal flow and drainage patterns, anatomic localization and association with distant components. Options for treatment include sclerotherapy, biologic therapy, embolization, surgical excision, or some combination thereof. CONCLUSIONS A comprehensive understanding of each patient's unique lesion is critical to a rational treatment approach. Teamwork and creativity are key to effectively managing these lesions. |
| Databáze: | OpenAIRE |
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