Abstract
Primary intraosseous venous malformations affecting the zygoma are rare vascular lesions, with only 35 cases reported in the surgical literature. Despite the establishment of the binary classification system, which serves to distinguish vascular tumors from malformations, inappropriate use of the term ''hemangioma'' to describe a variety of distinct vascular anomalies remains widespread. The authors present 3 cases of zygomatic intraosseous venous malformations and summarize the clinical, radiographic, and immunohistochemical features of these lesions. In each case, an insidious clinical course, combined with the pathognomonic finding of radiating trabeculae on computed tomography, suggests the diagnosis of intraosseous venous malformation. Negative glucose transporter isoform 1 immunoreactivity and histopathological analysis were used to reinforce this diagnosis in 1 patient. Management was individualized in each case, based on symptom complex and aesthetic concern. Given that the therapeutic approach to vascular anomalies is dependent on accurate diagnosis, resolution of semantic matters will optimize the management of these lesions.
| Original language | English |
|---|---|
| Pages (from-to) | 323-327 |
| Number of pages | 5 |
| Journal | Annals of Plastic Surgery |
| Volume | 72 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 2014 |
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Keywords
- Facial bone
- Intraosseous hemangioma
- Intraosseous venous malformation
- Vascular malformation
- Zygoma
ASJC Scopus subject areas
- Surgery
Cite this
Intraosseous venous malformations of the zygoma : Clarification of misconceptions regarding diagnosis and management. / DeFazio, Michael V.; Kassira, Wrood; Camison, Liliana; Meshkov, Lauren; Robinson, Philip G.; Kawamoto, Henry K.; Thaller, Seth.
In: Annals of Plastic Surgery, Vol. 72, No. 3, 01.01.2014, p. 323-327.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intraosseous venous malformations of the zygoma
T2 - Clarification of misconceptions regarding diagnosis and management
AU - DeFazio, Michael V.
AU - Kassira, Wrood
AU - Camison, Liliana
AU - Meshkov, Lauren
AU - Robinson, Philip G.
AU - Kawamoto, Henry K.
AU - Thaller, Seth
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Primary intraosseous venous malformations affecting the zygoma are rare vascular lesions, with only 35 cases reported in the surgical literature. Despite the establishment of the binary classification system, which serves to distinguish vascular tumors from malformations, inappropriate use of the term ''hemangioma'' to describe a variety of distinct vascular anomalies remains widespread. The authors present 3 cases of zygomatic intraosseous venous malformations and summarize the clinical, radiographic, and immunohistochemical features of these lesions. In each case, an insidious clinical course, combined with the pathognomonic finding of radiating trabeculae on computed tomography, suggests the diagnosis of intraosseous venous malformation. Negative glucose transporter isoform 1 immunoreactivity and histopathological analysis were used to reinforce this diagnosis in 1 patient. Management was individualized in each case, based on symptom complex and aesthetic concern. Given that the therapeutic approach to vascular anomalies is dependent on accurate diagnosis, resolution of semantic matters will optimize the management of these lesions.
AB - Primary intraosseous venous malformations affecting the zygoma are rare vascular lesions, with only 35 cases reported in the surgical literature. Despite the establishment of the binary classification system, which serves to distinguish vascular tumors from malformations, inappropriate use of the term ''hemangioma'' to describe a variety of distinct vascular anomalies remains widespread. The authors present 3 cases of zygomatic intraosseous venous malformations and summarize the clinical, radiographic, and immunohistochemical features of these lesions. In each case, an insidious clinical course, combined with the pathognomonic finding of radiating trabeculae on computed tomography, suggests the diagnosis of intraosseous venous malformation. Negative glucose transporter isoform 1 immunoreactivity and histopathological analysis were used to reinforce this diagnosis in 1 patient. Management was individualized in each case, based on symptom complex and aesthetic concern. Given that the therapeutic approach to vascular anomalies is dependent on accurate diagnosis, resolution of semantic matters will optimize the management of these lesions.
KW - Facial bone
KW - Intraosseous hemangioma
KW - Intraosseous venous malformation
KW - Vascular malformation
KW - Zygoma
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UR - http://www.scopus.com/inward/citedby.url?scp=84899987752&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e3182605690
DO - 10.1097/SAP.0b013e3182605690
M3 - Article
VL - 72
SP - 323
EP - 327
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 3
ER -