eMedicine Specialties > Plastic Surgery > Skin

Vascular, Hemangiomas: Multimedia

Author: Meir Cohen, MD, MPS, Consulting Staff, Department of Plastic Surgery, Schneider Children's Medical Center of Israel, Tel Aviv University
Coauthor(s): Eyal Raveh, MD, Consulting Staff, Department of Otolaryngology, Rabin Medical Center, Israel; Dan Ben-Amitai, MD, Head of Pediatric Dermatology Service, Lecturer, Schneider Children's Medical Center of Israel; Shimon Maimon, MD, Head of Invasive Radiology Unit, Beilinson Campus, Rabin Medical Center, Israel; Benjamin Shalev, MD, Consulting Staff, Ophthalmology Unit, Schneider Children's Medical Center of Israel; Moshe Lapidoth, MD, Head, Laser Service, Dermatology, Golda-Hasharon Hospital; Eric Bensimon, MD, Clinical Instructor, Department of Surgery, University of Montreal
Contributor Information and Disclosures

Updated: Mar 14, 2008

Multimedia

Hemangiomas. Classification of vascular lesions.Media file 1: Hemangiomas. Classification of vascular lesions.
Hemangiomas. Classification of vascular lesions.

Hemangiomas. Classification of vascular lesions.

Hemangiomas. Classification of vascular malformat...Media file 2: Hemangiomas. Classification of vascular malformations.
Hemangiomas. Classification of vascular malformat...

Hemangiomas. Classification of vascular malformations.

Hemangiomas. Diagnosis - Medical history.Media file 3: Hemangiomas. Diagnosis - Medical history.
Hemangiomas. Diagnosis - Medical history.

Hemangiomas. Diagnosis - Medical history.

Hemangiomas. Diagnosis - Physical examination.Media file 4: Hemangiomas. Diagnosis - Physical examination.
Hemangiomas. Diagnosis - Physical examination.

Hemangiomas. Diagnosis - Physical examination.

Deep cheek hemangiomas.Media file 5: Deep cheek hemangiomas.
Deep cheek hemangiomas.

Deep cheek hemangiomas.

Superficial cheek hemangiomas.Media file 6: Superficial cheek hemangiomas.
Superficial cheek hemangiomas.

Superficial cheek hemangiomas.

Upper lip hemangiomas.Media file 7: Upper lip hemangiomas.
Upper lip hemangiomas.

Upper lip hemangiomas.

Treatment with steroids of orbital hemangioma.Media file 8: Treatment with steroids of orbital hemangioma.
Treatment with steroids of orbital hemangioma.

Treatment with steroids of orbital hemangioma.

Panfacial hemangiomas.Media file 9: Panfacial hemangiomas.
Panfacial hemangiomas.

Panfacial hemangiomas.

Resection of a bleeding forehead hemangioma.Media file 10: Resection of a bleeding forehead hemangioma.
Resection of a bleeding forehead hemangioma.

Resection of a bleeding forehead hemangioma.

Lower lip hemangioma with intraoral extension.Media file 11: Lower lip hemangioma with intraoral extension.
Lower lip hemangioma with intraoral extension.

Lower lip hemangioma with intraoral extension.

Hemangiomas. Relaxation time - MRI T1, T2.Media file 12: Hemangiomas. Relaxation time - MRI T1, T2.
Hemangiomas. Relaxation time - MRI T1, T2.

Hemangiomas. Relaxation time - MRI T1, T2.

Hemangiomas. Diagnosis MRI.Media file 13: Hemangiomas. Diagnosis MRI.
Hemangiomas. Diagnosis MRI.

Hemangiomas. Diagnosis MRI.

Left orbital hemangioma.Media file 14: Left orbital hemangioma.
Left orbital hemangioma.

Left orbital hemangioma.

MRI of orbital hemangioma.Media file 15: MRI of orbital hemangioma.
MRI of orbital hemangioma.

MRI of orbital hemangioma.

Proliferating hemangioma - Light microscopy.Media file 16: Proliferating hemangioma - Light microscopy.
Proliferating hemangioma - Light microscopy.

Proliferating hemangioma - Light microscopy.

Hemangiomas. Facial nodular fasciitis misdiagnose...Media file 17: Hemangiomas. Facial nodular fasciitis misdiagnosed as a vascular lesion.
Hemangiomas. Facial nodular fasciitis misdiagnose...

Hemangiomas. Facial nodular fasciitis misdiagnosed as a vascular lesion.

Differential diagnosis of orbital hemangiomas.Media file 18: Differential diagnosis of orbital hemangiomas.
Differential diagnosis of orbital hemangiomas.

Differential diagnosis of orbital hemangiomas.

The effect of compression on a chest hemangioma.Media file 19: The effect of compression on a chest hemangioma.
The effect of compression on a chest hemangioma.

The effect of compression on a chest hemangioma.

Use of a bicoronal approach to resect a forehead ...Media file 20: Use of a bicoronal approach to resect a forehead hemangioma.
Use of a bicoronal approach to resect a forehead ...

Use of a bicoronal approach to resect a forehead hemangioma.

Types of nasal hemangiomas.Media file 21: Types of nasal hemangiomas.
Types of nasal hemangiomas.

Types of nasal hemangiomas.

Resection and primary closure of a nasal bridge h...Media file 22: Resection and primary closure of a nasal bridge hemangioma.
Resection and primary closure of a nasal bridge h...

Resection and primary closure of a nasal bridge hemangioma.

Open rhinoplasty approach to resect a nasal tip h...Media file 23: Open rhinoplasty approach to resect a nasal tip hemangioma.
Open rhinoplasty approach to resect a nasal tip h...

Open rhinoplasty approach to resect a nasal tip hemangioma.

Lower lip hemangioma.Media file 24: Lower lip hemangioma.
Lower lip hemangioma.

Lower lip hemangioma.

More on Vascular, Hemangiomas

Overview: Vascular, Hemangiomas
Workup: Vascular, Hemangiomas
Treatment: Vascular, Hemangiomas
Follow-up: Vascular, Hemangiomas
Multimedia: Vascular, Hemangiomas
References

References

  1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. Mar 1982;69(3):412-22. [Medline].

  2. Marler JJ, Mulliken JB. Current management of hemangiomas and vascular malformations. Clin Plastic Surg. 2005;32:99-116. [Medline].

  3. Patrice SJ, Wiss K, Mulliken JB. Pyogenic granuloma (lobular capillary hemangioma): a clinicopathologic study of 178 cases. Pediatr Dermatol. Dec 1991;8(4):267-76. [Medline].

  4. Boon LM, Enjolras O, Mulliken JB. Congenital hemangioma: evidence of accelerated involution. J Pediatr. Mar 1996;128(3):329-35. [Medline].

  5. Mulliken JB. Vascular anomalies. In: Aston SJ, Beasley RW, Thorne CHM, eds. Grabb and Smith Plastic Surgery. 5th ed. NY: Lippincott Raven Publishers; 1997.

  6. Hemangioma Investigator Group, Haggstrom AN, Drolet BA, Baselga E, Chamlin SL, Garzon MC, et al. Prospective study of infantile hemangiomas: demographic, prenatal, and perinatal characteristics. J Pediatr. Mar 2007;150(3):291-4. [Medline].

  7. Breugem CC, van Der Horst CM, Hennekam RC. Progress toward understanding vascular malformations. Plast Reconstr Surg. May 2001;107(6):1509-23. [Medline].

  8. Chang J, Most D, Bresnick S, Mehrara B, Steinbrech DS, Reinisch J, et al. Proliferative hemangiomas: analysis of cytokine gene expression and angiogenesis. Plast Reconstr Surg. Jan 1999;103(1):1-9; discussion 10. [Medline].

  9. Tan ST, Velickovic M, Ruger BM, Davis PF. Cellular and extracellular markers of hemangioma. Plast Reconstr Surg. Sep 2000;106(3):529-38. [Medline].

  10. Metry DW, Hawrot A, Altman C, Freiden IJ. Association of solitary, segmental hemangiomas of the skin with visceral hemangiomatosis. Arch Dermatol. May 2004;140(5):591-6. [Medline].

  11. Armstrong DC, ter Brugge K. Selected interventional procedures for pediatric head and neck vascular lesions. Neuroimaging Clin N Am. Feb 2000;10(1):271-92, x. [Medline].

  12. Takahashi K, Mulliken JB, Kozakewich HP, Rogers RA, Folkman J, Ezekowitz RA. Cellular markers that distinguish the phases of hemangioma during infancy and childhood. J Clin Invest. Jun 1994;93(6):2357-64. [Medline].

  13. Organek A, Cohen M, Zuker R. Interactive information kiosk improves patient knowledge and satisfaction in a busy pediatric plastic surgery clinic. Can J Plast Surg. 2000;8(3):105.

  14. Bonifazi E, Mileti F. Images in clinical medicine. Congenital hemangioma. N Engl J Med. Apr 8 1999;340(14):1080. [Medline].

  15. Sloan GM, Reinisch JF, Nichter LS, Saber WL, Lew K, Morwood DT. Intralesional corticosteroid therapy for infantile hemangiomas. Plast Reconstr Surg. Mar 1989;83(3):459-67. [Medline].

  16. Pope E, Krafchik BR, Macarthur C, Stempak D, Stephens D, Weinstein M, et al. Oral versus high-dose pulse corticosteroids for problematic infantile hemangiomas: a randomized, controlled trial. Pediatrics. Jun 2007;119(6):e1239-47. [Medline].

  17. Boon LM, MacDonald DM, Mulliken JB. Complications of systemic corticosteroid therapy for problematic hemangioma. Plast Reconstr Surg. Nov 1999;104(6):1616-23. [Medline].

  18. Ezekowitz RA, Mulliken JB, Folkman J. Interferon alfa-2a therapy for life-threatening hemangiomas of infancy. N Engl J Med. May 28 1992;326(22):1456-63. [Medline].

  19. Fawcett SL, Grant I, Hall PN, Kelsall AW, Nicholson JC. Vincristine as a treatment for a large haemangioma threatening vital functions. Br J Plast Surg. Mar 2004;57(2):168-71. [Medline].

  20. Scheepers JH, Quaba AA. Does the pulsed tunable dye laser have a role in the management of infantile hemangiomas? Observations based on 3 years' experience. Plast Reconstr Surg. Feb 1995;95(2):305-12. [Medline].

  21. Achauer BM, Celikoz B, VanderKam VM. Intralesional bare fiber laser treatment of hemangioma of infancy. Plast Reconstr Surg. Apr 1998;101(5):1212-7. [Medline].

  22. Achauer BM, Chang CJ, VanderKam VM, Boyko A. Intralesional photocoagulation of periorbital hemangiomas. Plast Reconstr Surg. Jan 1999;103(1):11-6; discussion 17-9. [Medline].

  23. Silfen R, Amir A, Regev D, Hauben DJ. Tumescence: a valuable adjunct for the excision of facial hemangiomas. Plast Reconstr Surg. Jul 2000;106(1):217-8. [Medline].

  24. Enjolras O, Mulliken JB, Boon LM, Wassef M, Kozakewich HP, Burrows PE. Noninvoluting congenital hemangioma: a rare cutaneous vascular anomaly. Plast Reconstr Surg. Jun 2001;107(7):1647-54. [Medline].

  25. Zuker MR, Cohen M. Congenital hand anomalies (discussion). In: Goldwyn RM, Cohen MN, eds. The Unfavorable Result in Plastic Surgery Avoidance and Treatment. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2000:710-13.

Further Reading

Keywords

Vascular hemangioma, hemangioma, vascular lesions, skin lesion, congenital skin lesion, congenital vascular lesion, acquired skin lesion, acquired vascular lesion, hemangiomas, capillary malformation, venous malformation, lymphatic malformation, slow-flow lesions, high-flow lesions, capillary hemangioma, strawberry hemangioma, cavernous hemangioma, superficial hemangioma, deep hemangioma, mixed hemangioma, mixed type hemangioma, malignant type hemangioma, spreading hemangioma, spreading lesion, involution phase, proliferation phase, PHACES syndrome, PHACES, pyogenic granuloma, facial deformity, facial disfigurement, spontaneous involution, facial hemangioma, periorbital hemangioma, forehead hemangioma, cheek hemangioma, nasal hemangioma, upper lip hemangioma, lower lip hemangioma

Contributor Information and Disclosures

Author

Meir Cohen, MD, MPS, Consulting Staff, Department of Plastic Surgery, Schneider Children's Medical Center of Israel, Tel Aviv University
Meir Cohen, MD, MPS is a member of the following medical societies: American Cleft Palate/Craniofacial Association and Plastic Surgery Research Council
Disclosure: Nothing to disclose.

Coauthor(s)

Eyal Raveh, MD, Consulting Staff, Department of Otolaryngology, Rabin Medical Center, Israel
Disclosure: Nothing to disclose.

Dan Ben-Amitai, MD, Head of Pediatric Dermatology Service, Lecturer, Schneider Children's Medical Center of Israel
Dan Ben-Amitai, MD is a member of the following medical societies: Israel Medical Association
Disclosure: Nothing to disclose.

Shimon Maimon, MD, Head of Invasive Radiology Unit, Beilinson Campus, Rabin Medical Center, Israel
Disclosure: Nothing to disclose.

Benjamin Shalev, MD, Consulting Staff, Ophthalmology Unit, Schneider Children's Medical Center of Israel
Disclosure: Nothing to disclose.

Moshe Lapidoth, MD, Head, Laser Service, Dermatology, Golda-Hasharon Hospital
Disclosure: Nothing to disclose.

Eric Bensimon, MD, Clinical Instructor, Department of Surgery, University of Montreal
Eric Bensimon, MD is a member of the following medical societies: American Society of Plastic Surgeons, Canadian Society of Plastic Surgeons, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Medical Editor

Shahin Javaheri, MD, Chief, Department of Plastic Surgery, Martinez Veterans Affairs Outpatient Clinic; Consulting Staff, Advanced Aesthetic Plastic & Reconstructive Surgery
Shahin Javaheri, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Wayne Stadelmann, MD, Stadelmann Plastic Surgery, PC
Wayne Stadelmann, MD is a member of the following medical societies: Alpha Omega Alpha, New Hampshire Medical Society, Northeastern Society of Plastic Surgeons, and Phi Beta Kappa
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

 
 
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