caa a22 4500 463210824 CHVBK 20180405153140.0 cr unu---uuuuu 170326e20070901xx s 000 0 eng 10.1007/s00238-007-0121-2 doi (NATIONALLICENCE)springer-10.1007/s00238-007-0121-2 Interdisciplinary management of craniofacial vascular malformations [Elektronische Daten] [H. Kubiena, M. Cejna, S. Kreuzer, E. Frey, M. Schoder, M. Frey] Beside their sometimes unsightly appearance, vascular malformations of the head and neck area can lead to very severe functional problems. Reduced field of vision and impairments in breathing and swallowing can occur and are serious problems to deal with. During the last 4years, 17 patients with vascular malformations of the head and neck region were treated in our department. Initially, the patients were evaluated by an interdisciplinary team consisting of specialists in pediatrics, radiology, dermatology, and plastic surgery. A diagnostic algorithm of radiological investigation is established; this consists of gadolinium-enhanced magnetic resonance imaging, magnetic resonance angiography, and multi-slice computer tomography to provide as a basis for individual treatment. In four patients with well identifiable feeding vessels, a two-stage concept consisting of embolization and immediate resection was performed. A detailed explanation of the diagnostic and therapeutic steps with regard to the specific imaging necessities and treatment modalities is outlined. The aim is to emphasize the necessity for a multidisciplinary approach in dealing with large craniofacial vascular malformations. Minimal blood loss, moderate operating time, and overall satisfactory postoperative results, both functional and cosmetic, are the aims of this interdisciplinary management. Springer-Verlag, 2007 Vascular malformation nationallicence Embolization nationallicence Interdisciplinary management nationallicence Kubiena H. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut Cejna M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut Kreuzer S. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut Frey E. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut Schoder M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut Frey M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut European Journal of Plastic Surgery Springer-Verlag 30/2(2007-09-01), 81-86 0930-343X 30:2<81 2007 30 238 https://doi.org/10.1007/s00238-007-0121-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0121-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kubiena H. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Cejna M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Kreuzer S. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Frey E. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Schoder M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Frey M. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 30/2(2007-09-01), 81-86 0930-343X 30:2<81 2007 30 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer