Head and Neck Vascular Anomalies: A Practical Case-Based Approach

First Edition

Gresham T. Richter, James Y. Suen

Details: 456 pages, Full Color, Hardcover, 8.5" x 11"

ISBN13: 978-1-59756-546-2

© 2015 | Available


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Includes 65 cases and 380 images!

Vascular anomalies are encountered in the daily practice of many medical and surgical disciplines, but commonly occur in the head and neck. These disorders of blood vessel development - including hemangiomas and vascular malformations - can be challenging as treatment approaches vary depending on the lesion's clinical characteristics, the disciplines involved, and the experience of the physician.

Head and Neck Vascular Anomalies: A Practical Case-Based Approach offers a focused, multidisciplinary guide to the management of simple and complex vascular lesions based on type and location, with specific treatment suggestions using clinical and scientific evidence. With contributed chapters from international leaders in the field, this text provides consistent and straightforward techniques to treating both frequently encountered as well as less common vascular anomalies.

Initial steps for diagnosis, followed by a recommended treatment approach are illustrated with photographs, imaging, and demonstrations of surgical or alternative therapies. This text is based on current literature and aims to present a timeless algorithm for each lesion type.

Dr. Richter and Dr. Suen have more than 40 years combined experience in treating these lesions. Their Vascular Anomalies Center at Arkansas Children's Hospital was one of the earliest treatment centers for these disorders and is now world-renowned for its clinical expertise and multidisciplinary approach.

Their case-based approach is an efficient resource for physicians in a variety of specialties. With the increasing number of vascular anomaly centers emerging, along with the recent advancements in the field, Head and Neck Vascular Anomalies: A Practical Case-Based Approach is the ideal resource for physicians.

This book will be of interest to:

  • Otolaryngologists-Head and Neck Surgeons
  • Plastic and Reconstructive Surgeons
  • Dermatologists
  • Pediatric Surgeons and Pediatricians
  • General Surgeons
  • Radiologists
  • Oral and Maxillofacial Surgeons
  • Oncologists

From the Preface

"We designed Head and Neck Vascular Anomalies: A Practical Case-Based Approach'with the goal to provide hands-on, step-by-step, management algorithms for specific vascular anomalies of the head and neck encountered in daily practice. This is a condensed, multidisciplinary, practical guide for both simple and complex lesions. Our colleagues in otolaryngology, dermatology, pediatric surgery, plastic surgery, oncology, and interventional radiology have all contributed amazing cases with clinical detail, scientific evidence, and therapeutic options.

In each chapter, the initial steps to diagnose a vascular lesion are followed by a recommended treatment in a case-based format with photographs, radiographic imaging, and alternative therapies. All cases are based upon current literature with the aim to give state-of-the-art information on the majority of head and neck vascular anomalies. Medical, radiographic, and surgical techniques for frequently encountered and more difficult vascular anomalies are described."
—Editors, Gresham T. Richter and James Y. Suen


"The case-based style makes for an easy read, yet the surgical approaches are explained in adequate detail to easily reproduce the technical aspects of any recommended surgical intervention. Preoperative and postoperative photographs are included for nearly all cases of surgical intervention. After each case, the authors provide a comprehensive list of medical and surgical options and a summary list of key take-home points. Unlike a traditional textbook, these cases can be reviewed quickly to provide a reliable treatment framework for nearly any patient with a head and neck vascular anomaly. . . . I recommend this book as a must-have for any clinician involved in the care of patients with head and neck vascular anomalies."
Arun K. Gosain, M.D., in Plastic & Reconstructive Surgery, Volume 137, Issue 5 (May 2016)

"This text is a useful resource for physicians in all fields and at all levels of training. The cases are well presented, and the flow of each case study is extremely readable while still providing a comprehensive overview of each topic. The high-quality illustrations are well organized and a critical adjunct to the text, expertly representing the lesion discussed and thereby enhancing the reader's understanding of the presentation/postoperative appearances of the lesions. Furthermore, each case study is succinctly summarized in a bulleted list, which allows the reader to hone in on the major key points for each case. This text also provides extensive references, not just from otolaryngology journals but also from plastics, pediatrics, and dermatology journals, highlighting the multidisciplinary approach for many of the head and neck vascular anomalies. This text will [be] useful for pediatric otolaryngologists, pediatricians, and other physicians who encounter vascular anomalies in their practice."
Karen Y. Choi, MD, in the Annals of Otology, Rhinology & Laryngology, Vol 125(3) 264 (March 2016)

"This is an exhaustive text covering the complex area of vascular anomalies in the head and neck region. It discusses their clinical features, with strategies for making the correct diagnosis, appropriate investigations with useful lists of differential diagnoses and is particularly detailed regarding their individual management.

These descriptions centre on theoretical 'typical' case discussions, which are readily applicable to such cases that are seen in clinical practice. The fact that these are so uncommon makes this particularly useful. These discussions are highlighted by excellent, and often startling, clinical photographs of the different anomalies of different parts of the region. Radiological images and pictures of the upper airway are also included. Chapters cover manifestations on the skin, oral cavity, orbit, deep neck spaces and airway... 

The book would certainly be of benefit as a reference text in large paediatric centres and for those developing a specialist service in the care of vascular malformations or who work in a variety of medical specialties, including oral-maxillofacial and plastic surgery. It is certainly a worthwhile read for those wishing to refresh their knowledge of these malformations and their associated conditions and syndromes."
Miles Bannister and Kim Ah-See, Aberdeen Royal Infirmary, UK, in the Journal of Laryngology and Otology (July 2015)

"The clinical pictures are very good and the overall layout and print quality excellent. This is a first rate reference book. I would wholeheartedly recommend this to any specialist ENT department who treats vascular anomalies. These are complex conditions requiring multidisciplinary working. This text will be a valuable aid indeed."

"...The audience includes any clinician taking care of patients with vascular anomalies of the head and neck. It is detailed enough for specialists such as otolaryngologists, dermatologists, pediatric surgeons, plastics surgeons, vascular surgeons, oncologists, and interventional radiologists, but it also would be helpful as a reference for clinicians in other fields who may encounter these patients...[Dr. Gresham T. Richter and Dr. James Y. Suen] bring an incredible amount of knowledge on the spectrum of disease presentation to this book..."

This is an invaluable book for any clinician who encounters patients with vascular anomalies of the head and neck. The case-based format provides a clear and concise presentation of the treatment and management. Though it is descriptive enough for clinicians specializing in treating these patients, the book's clear and precise style would enable clinicians of many different specialties to care for them. 4 Stars!"
Courtney Erin Morgan, MD, Northwestern University Feinberg School of Medicine, Doody's Review Service (July 2015)


Chapter 1. Infantile Hemangiomas
Basic Tenants and Interventions

Gresham T. Richter

Case Study 1-1. Anterior Neck Hemangioma

Abby R. Nolder

Case Study 1-2. Infantile Hemangioma of the Eyelid

David H. Darrow and Joel K. Lall-Trail

Case Study 1-3. Orbital Infantile Hemangioma

Aaron Fay, Peter W. MacIntosh, and Milton Waner

Case Study 1-4. Glabella Hemangioma

Gresham T. Richter and Venkata S.P.B. Durvasula

Case Study 1-5. Upper Lip Hemangioma

Larry D. Hartzell

Case Study 1-6. Lower Lip Hemangioma

Larry D. Hartzell

Case Study 1-7. Complex Facial Hemangioma

Melanie Duval and J. Fredrik Grimmer

Case Study 1-8. Ulcerated Hemangiomas

M. Taylor Fordham and Nancy M. Bauman

Case Study 1-9. Hemangioma of the Posterior Neck

Lorelei Grunwaldt and Deepak Mehta

Case Study 1-10. Infantile Hemangioma of the Scalp

Adnan Mir and Brandi Kenner-Bell

Case Study 1-11. Infantile Hemangioma of the Nasal Tip

Marcelo Hochman

Case Study 1-12. Paranasal Hemangioma

Robert H. Chun and Kristen E. Holland

Case Study 1-13. Segmental Hemangiomas

Francine Blei

Case Study 1-14. Multifocal Infantile Hemangioms "Hemangiomatosis"

Denise M. Adams

Case Study 1-15. Parotid Infantile Hemangioma

Teresa M. O and Milton Waner

Case Study 1-16. Subglottic Hemangioma

Ian Jacobs

Case Study 1-17. Circular Excision and Purse-String Suture for Infantile Hemangiomas

Dov C. Goldenberg, Patricia Y. Hiraki, and Raphael Manzini

Case Study 1-18. Cheek Hemangiomas

Jessica L. Hootnick, Stephen R. Hoff, Julia F. Corcoran, and Jeffrey C. Rastatter

Chapter 2. Other Vascular Tumors
Case Study 2-1. Rapidly Involuting Congenital Hemangioma and Noninvoluting Congenital Hemangioma (RICH and NICH).

Ravindhra G. Elluru, Kashif Mazhar, and Manish N. Patel

Case Study 2-2. Pyogenic Granuloma

Tara L. Rosenberg

Case Study 2-3. Kaposiform Hemangioendothelima

Lauren A. Kilpatrick

Chapter 3. Capillary Malformations
Basic Tenants and Interventions

Rachel A. Giese and Gresham T. Richter

Case Study 3-1. Nervus Simplex: Medial Fronto-Facial Capillary Malformations

Vekata S.P.B. Durvasula and Gresham T. Richter

Case Study 3-2. Port-Wine Stains in Association with Underlying Syndromes

Arisa E. Ortiz and J. Stuart Nelson

Chapter 4. Venous Malformations
Basic Tenants and Interventions

Fang Hou

Case Study 4-1. Venous Malformation of the Larynx

Gresham T. Richter

Case Study 4-2. Venous Malformation of the Scalp

Kashif Mazhar, Manish N. Patel, and Ravindhra G. Elluru

Case Study 4-3. Buccal Space Venous Malformation

Amir Pezeshkmehr and Leah Braswell

Case Study 4-4. Masseteric Venous Malformations

Amir Pezeshkmehr and Leah Braswell

Case Study 4-5. Upper Lip Focal Venous Malformation

Patrick D. Munson

Case Study 4-6. Venous Malformation of the Head and Neck

''Yan An Wang, Jia Wei Zheng, Han Guang Zhu, and Zhi Yuan Zhang

Case Study 4-7. Venous Malformation of Cheek and Upper Lip

Steven L. Goudy and Joshua R. Mitchell

Case Study 4-8. Venous Malformation of the Oropharynx-Hypopharynx

James Y. Suen

Case Study 4-9. Extensive Venous Malformation of Face and Neck

Behfar Eivazi

Case Study 4-10. Orbital Venous Malformation

Ming Lin, Jia Wei Zheng, and Xianqun Fan

Case Study 4-11. Cheek Venous Malformation

Teresa M. O and Milton Waner

Case Study 4-12. Venous Malformation of the Temporal Bone

Jumin Sunde and John L. Dornhoffer

Case Study 4-13. Venous Malformation of the Tongue

James Y. Suen

Case Study 4-14. Vascular Malformation of the Geniculate Ganglion and Internal Auditory Canal

James C. Wang and Jennifer J. Shin

Case Study 4-15. Laser Therapy for Venous Malformations

H. Peter Berlien

Chapter 5. Lymphatic Malformations
Basic Tenants and Interventions

Rachel A. Giese and Gresham T. Richter

Case Study 5-1. Mixed Cheek Lymphatic Malformation

Robert S. Glade and G. Paul Digoy

Case Study 5-2. Complex Large Neck Macrocystic Lymphatic Malformation

Adva Buzi and Steve Sobol

Case Study 5-3. Parotid Lymphatic Malformation

Kris R. Jatana, William E. Shiels, and Gregory Wiet

Case Study 5-4. Cervicothoracic Macrocystic Lymphatic Malformation

Diedre Wyrick, Gresham T. Richter, and Richard Jackson

Case Study 5-5. Upper Lip Microcystic Lymphatic Malformation

Jeffrey C. Rastatter and Stephen R. Hoff

Case Study 5-6. Bilateral Stage Four Lymphatic Malformation of the Neck

Jonathan A. Perkins

Case Study 5-7. Lymphatic Malformation of the Mandible

James Y. Suen

Case Study 5-8. Orbital Lymphatic Malformation

Srinivasan Paramasivam, Peter W. MacIntosh, Alejandro Berenstein, Teresa M. O, and Aaron Fay

Case Study 5-9. Laryngeal Microcystic Lymphatic Malformation

Gresham T. Richter

Case Study 5-10. Ex Utero Intrapartum Treatment Procedure for Large Cervical-Medistinal Lymphatic Malformation

Kris R. Jatana, William E. Sheils, and Gregory Wiet

Case Study 5-11. Deep Cervical/Supracervical Lymphatic Malformation

Charles A. James and Amir Pezeshkmehr

Case Study 5-12. Tongue Microcystic Lymphatic Malformation

Gresham T. Richter

Chapter 6. Arteriovenous Malformations
Basic Tenants and Interventions

James Y. Suen, Rachel A. Giese, and Gresham T. Richter

Case Study 6-1. Focal Arteriovenous Malformation of the Lower Lip

James Y. Suen

Case Study 6-2. Midfacial Arteriovenous Malformation Involving the Upper Lip

Behfar Eivazi and J.A. Werner

Case Study 6-3. Facial Arteriovenous Malformations

Patricia E. Burrows

Case Study 6-4. Extensive Cervicofacial Arteriovenous Malformation

Javier Couto and Arin K. Greene

Case Study 6-5. Auricular Arteriovenous Malformation

Wayne F. Yakes and Alexis M. Yakes

Case Study 6-6. Scalp Arteriovenous Malformations

Dov C. Goldenberg, Patricia Y. Hiraki, and Andrea Koga

Case Study 6-7. Periorbital Arteriovenous Malformation

Xindong Fan and Lixin Su

Case Study 6-8. Multicentric Arteriovenous Malformation of the Face

Adewumi Amole

Case Study 6-9. Arteriovenous Malformation of the Upper Lip

James Y. Suen

Case Study 6-10. Hereditary Hemorrhagic Telangiectasia-Related Epistaxis

Angela C. Paddack and Marcus W. Moody

Case Study 6-11. Dural Arteriovenous Fistula

Mary E. Meek

Case Study 6-12. Arteriovenous Malformation of the Tongue

James Y. Suen

Case Study 6-13. Midline Arteriovenous Malformation of the Upper Lip in a Child

Milton Waner and Teresa M. O

Case Study 6-14. Arteriovenous Malformation of the Mandible

Tara L. Rosenberg, Gresham T. Richter, and James Y. Suen

Case Study 6-15. Auricular and Parotid Arteriovenous Malformation

Jonathan M. Grischkan, Andrew J. Rabe, and Kris R. Jatana

Gresham T. Richter

Gresham T. Richter, MD, FACS, is an endowed chair and the director of the Vascular Anomalies Center at Arkansas ChildrenÂ’s Hospital. He is a tenured associate professor of pediatric otolaryngology in the Department of Otolaryngology-Head and Neck Surgery at the University of Arkansas for Medical Sciences (UAMS). Dr. Richter, a Colorado native, received his undergraduate and medical degrees at the University of Colorado. He completed his residency in otolaryngology at UAMS and his fellowship in pediatric otolaryngology at Cincinnati ChildrenÂ’s Hospital. Dr. Richter returned to Arkansas to join the UAMS faculty, where he founded the Center for the Investigation of Congenital Aberrancies in Vascular Development and is now codirector of the Arkansas Vascular Biology Program. His laboratory is dedicated to advancing the field of vascular anomalies and identifying novel therapies for complex lesions. Dr. Richter maintains a busy clinical practice in both vascular anomalies and pediatric otolaryngology and has published numerous manuscripts and book chapters in these fields.

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James Y. Suen

James Y. Suen, MD, is a distinguished professor and chair of the Department of Otolaryngology-Head and Neck Surgery and holds the Patricia and J. Floyd Kyser, MD, Professorship at the University of Arkansas for Medical Sciences. His special interest in vascular anomalies spans over 30 years. Dr. Suen has extensive experience in the management of difficult vascular malformations, especially with surgery. He has received the Distinguished Alumnus Award from both the University of Arkansas for Medical Sciences and from the MD Anderson Cancer Center. Dr. Suen has been listed in every issue of Best Doctors.

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