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Classification of Vascular Anomalies and the Comprehensive Treatment of Hemangiomas

Burns, A Jay M.D.; Navarro, J Alberto M.D.; Cooner, Rebecca D. R.N., M.S., C.P.N.P.

Plastic and Reconstructive Surgery: July 2009 - Volume 124 - Issue 1 - p 69e-81e
doi: 10.1097/PRS.0b013e3181aa1015
Pediatric Supplement Online: Pediatric Supplement: Original Articles Online

Background: The purpose of this article is to review the biological classification system of vascular anomalies and present a comprehensive treatment approach to hemangiomas.

Methods: An extensive literature review was performed for the classification of vascular anomalies. Emphasis was placed on the epidemiology, pathogenesis, diagnosis, and treatment of hemangiomas, including the authors’ preferred algorithm.

Results: The authors’ comprehensive management of vascular anomalies as described in this article has resulted in high patient satisfaction and an excellent outcome in a majority of patients.

Conclusions: The authors believe that knowledge of proper classification is not just their personal preference but a functional necessity to aid in the treatment of these complex and large lesions. Proper use of the biological classification is inherent to understanding and treating these common vascular lesions optimally.

Dallas, Texas

From the Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, and the Department of Craniofacial and Plastic Surgery and Vascular Anomalies, Children’s Medical Center.

Received for publication June 20, 2007; accepted September 14, 2007.

Disclosure: The authors do not have any financial interest to declare in relation to the content of this article.

A. Jay Burns, M.D., 411 North Washington Avenue, Suite 6000, Dallas, Texas 75246,

©2009American Society of Plastic Surgeons