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Updated: Aug 30, 2026

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Published on: June 15, 2020
[Hemangiomas and vascular malformations in the area of the head and neck]
U Ernemann1, J Hoffmann, E Grönewäller
1Abteilung für Neuroradiologie, Radiologische Universitätsklinik Tübingen. ulrike.ernemann@med.uni-tuebingen.de
Insights
Treating paediatric head and neck vascular anomalies needs a team approach. This review outlines diagnostic guidelines and therapeutic options for haemangiomas and vascular malformations in children.
Area of Science:
- Paediatric Medicine
- Vascular Surgery
- Dermatology
- Radiology
Context:
- Head and neck vascular anomalies in children present complex diagnostic and treatment challenges.
- Effective management necessitates a collaborative, multidisciplinary strategy.
- Current therapeutic approaches are guided by established international classifications of vascular anomalies.
Purpose:
- To provide guidelines for the diagnostic assessment of paediatric patients with head and neck vascular anomalies.
- To discuss the indications for intervention in these conditions.
- To outline the available therapeutic options for managing paediatric vascular anomalies.
Summary:
- This review differentiates between haemangiomas (endothelial proliferations) and vascular malformations (developmental anomalies).
- Vascular malformations are further classified into high-flow or low-flow lesions based on their vascular channels (capillary, lymphatic, or venous).
- Diagnostic assessment and treatment strategies are presented for paediatric head and neck vascular anomalies.
Impact:
- Facilitates standardized diagnostic protocols for paediatric vascular anomalies.
- Informs clinical decision-making regarding treatment indications and therapeutic modalities.
- Aims to improve outcomes for children with complex head and neck vascular conditions through evidence-based guidelines.
Abstract:
The treatment of paediatric patients with extended vascular anomalies in the head and neck requires a multidisciplinary approach involving paediatricians, maxillofacial surgeons, dermatologists and radiologists. Therapeutic strategies are based on an internationally accepted classification of vascular anomalies, which distinguishes haemangiomas and vascular malformations. Whereas haemangiomas are endothelial proliferations, vascular malformations are considered to be developmental anomalies which are classified into high-flow or low-flow lesions and, according to their vascular channels, into capillary, lymphatic or venous malformations. In this review we present guidelines for the diagnostic assessment of paediatric patients with vascular anomalies in the head and neck region. The indications for treatment are discussed and therapeutic options are outlined.
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