Intra-operative bleeding is what most surgeons want to avoid in any surgery. Excessive blood loss and compromise of vital structures are possible morbidities when this happens. This paper presents a method that will minimize intra-operative bleeding during excision of hemangiomas. "Suture ligation technique" is the application of simple interrupted overlapping sutures using silk 2.0 with an atraumatic needle around the hemangiomas prior to the skin incision. Although a number of cases have been done three were documented. It was observed that the technique provides a less bloody and clearer operative fields hence resulting in a faster and less stressful operation with lesser complications. (Author)
HEMANGIOMA HEAD NECK

Hemangioma is one of the most common tumor in the region of the head and neck. There are many methods were tried for the treatment of hemangioma, however no single satisfactory method was introduced. The hemangioma which arised from the external ear are rare. Authors report three cases of the hemangioma which involved the external ear. The hemangioma was aesthetically treated with surgical reduction and ligation
Ear, External* ; Head ; Hemangioma* ; Ligation* ; Neck

Throughout the years, various classifications have evolved for the diagnosis of vascular anomalies. However, it remains difficult to classify a number of such lesions. Because all hemangiomas were previously considered to involute, if a lesion with imaging and clinical characteristics of hemangioma does not involute, then there is no subclass in which to classify such a lesion, as reported in one of our cases. The recent classification proposed by the International Society for the Study of Vascular Anomalies (ISSVA, 2014) has solved this problem by including non-involuting and partially involuting hemangioma in the classification. We present here five cases of vascular anomalies and discuss their diagnosis in accordance with the ISSVA (2014) classification. A non-involuting lesion should not always be diagnosed as a vascular malformation. A non-involuting lesion can be either a hemangioma or a vascular malformation depending upon its clinicopathologic and imaging characteristics.
Classification ; Diagnosis* ; Head* ; Hemangioma ; Neck* ; Vascular Malformations

Head and neck hamangiomas represent about 25%~33%of all hemangiomas. Kaban and Mulliken divided vascular birthmarks into two major categories : hemangioma and vascular malformation. Case 1 was diagnosed as cavernous hemangioma and the mass was excised completely and defected space was reconstructed with fat tissue. Case 2 was diagnosed definitely as traumatic A-V malformation by post-op histopathological examination and the mass was excised completely. This report describes two cases that were successfully treated by complete surgical excision for hemangioma in maxillofacial region.]]>
Blood Vessels ; Head ; Hemangioma ; Hemangioma, Cavernous ; Neck ; Parturition ; Vascular Malformations

PURPOSE: To characterize the MR findings for a differential diagnosis and to make a plan for treatment by interventional technique of the vascular masses with/without hypertrophic feeding vessels of the head and neck. SUBJCETS AND METHODS: Seven patients with vascular masses of the head and neck proved by pathology, angiography, clinical findings were included. Vascular masses included 4 venous malformations, a capillary hemangioma, and a hemangiopericytoma, a hemangioma combined with arteriovenous malformation. 7 patients had MR studies with 1.0T and 1.5T using routine TI-, T2- weighted spin echo sequences, and contrast enhancement. 4 MR angiography, 3 inversion recovery, and 6 contrast angiography were studied from 7 patients RESULTS: All vascular masses demonstrated higher than muscle signal intensity on Tl-weighted images, bright signal intensity on T2-weighted images, and prominent enhancement, except AV hemangioma combined with prominent arteriovenous malformation on postcontrast scan. Three hemangiomas demonstrated distinct serpiginous signal voids. Venous malformations demonstrated venous lakes seen as homogenous regions of high signal intensity and phleboliths seen as low signal foci on images. Inversion recovery was the best pulse sequence for evaluation of the extent of lesion. CONCLUSION: MR findings of the vascular masses of the head and neck are useful in delineating the extent of the disease, differentiating venous malformation or cavernous hemangioma from other hemangiomatous lesions including hypertrophic feeding vessels, and making a plan for treatment by interventional technique also.
Angiography ; Arteriovenous Malformations ; Diagnosis, Differential* ; Head* ; Hemangioma ; Hemangioma, Capillary ; Hemangioma, Cavernous ; Hemangiopericytoma ; Humans ; Lakes ; Neck* ; Pathology

Hemangiomas are the most common benign tumors in infancy, occurring most often on cutaneous and mucosal surfaces. Although less than 1% of hemangiomas occur in skeletal muscle, 15% of intramuscular hemangiomas arise in the head and neck musculature. Less than 10 cases of the sternocleidomastoid muscle have been reported in the English literatures. The masseter muscle is most commonly involved in the head and neck. Clinically, these tumors are present as distinct, localized, rubbery swelling. Neck computed tomography scan with enhancement may suggest a vascular mass within the muscle while angiography may detect feeding arteries in large intramuscular hemangiomas. The treatment of the hemangiomas is based on location, accessibility, depth of invasion, age, and cosmetic considerations. The optimal treatment is complete wide resection including the cuff of surrounding muscle. We report a case of hemangioma that occurred in the sternocleidomastoid muscle along with a with literature review.
Angiography ; Arteries ; Head ; Hemangioma ; Hemangioma, Capillary ; Masseter Muscle ; Muscle, Skeletal ; Neck Muscles ; Neck

PURPOSE: Intramuscular hemangioma (IMH) is a rare benign tumor occurring frequently on the trunk and extremities. It is uncommon in the head and neck area, especially in the lid, and is difficult to diagnose preoperatively due to its deep location. A case of IMH of the upper lid area is presented. METHODS: A 14-year-old female presented with a mass in the upper lid and brow area of the left side since 1 month of her age. The patient underwent debulking of the mass. The mass was easy to bleed, yellowish and fatty in appearance. The mass infiltrated surrounding orbicularis and frontalis muscle. RESULTS: Microscopically, the mass was composed of vessels of various size and adipose tissues that extended between individual muscle fibers. CONCLUSIONS: IMH is a rare tumor of the periorbital region, hence preoperative diagnosis is difficult. IMH must be kept in mind as the differential diagnosis in patients of young age presenting with a periorbital soft tissue mass.
Adolescent ; Diagnosis ; Diagnosis, Differential ; Extremities ; Female ; Head ; Hemangioma* ; Humans ; Neck

Head and Neck Neoplasms ; Hemangioma, Capillary ; Humans ; Infant ; Male

Intravascular papillary endothelial hyperplasia (IPEH) known as Masson's hemangioma is a rare benign reactive vascular lesion caused by the abnormal proliferation of endothelial cells. The lesion occurs most commonly in the fingers, head and neck, but very rare in the foot. We report a case of IPEH in the foot treated with operative excision.
Endothelial Cells ; Fingers ; Foot ; Head ; Hemangioma ; Hyperplasia ; Neck

Intramuscular hemangiomas are uncommon tumors of the head and neck, consistituting of 0.8% of all hemangioma, but often occur in the trunk and extremities. In the head and neck area, the masseter and trapezius muscle occur frequently, in which diagnosis is often difficult even with accurate preoperative imaging. The definitive diagnosis is made by histological study of the surgical biopsy specimen. Treatment of choice is complete surgical excision. This is, to our knowledge, the first case of intramuscular hemangioma of the mentalis muscle to be reported in korea.
Biopsy ; Diagnosis ; Extremities ; Head ; Hemangioma* ; Korea ; Neck ; Superficial Back Muscles