Superselective Embolization and Immediate Surgical Treatment: Our Present Approach to Treatment of Large Vascular Hemangiomas of the Face

Abstract

In facial angiodysplasias of the arteriovenous and venous types, superselective embolization of the vascular pedicles followed by immediate surgical excision offers the best chance for definitive results. This ideal cannot always be achieved, as there may be conditions that impede embolization, while radical excision is often limited at the facial level because of the main nerve structures. The authors illustrate the different extirpative and reconstruction possibilities available with regard to the distribution of the angiodysplastic lesions and their hemodynamic characteristics.