Nancy M. Bauman, MD, an ENT Today editorial board member, is Professor of Otolaryngology-Head and Neck Surgery at Children’s National Medical Center in Washington, DC.
Explore this issue:June 2009
Few medical conditions that otolaryngologists treat possess the breadth of heterogeneity of vascular anomalies. The size of lesions ranges from minute to massive, and the manifestations range from trivial to life-threatening, with the severity of symptoms not always proportional to the size of the lesion. The scope of treatment options extends from observation to intervention, the latter of which includes pharmacologic, radiologic, surgical, or a combination of techniques. The outcome spans the scale of spontaneous involution with little or no residual sequelae, to a lifelong battle of living with active disease and undergoing frequent procedures to maintain as much function of involved structures as possible.
Most important, the expectations of treatment for the patient may be quite disparate from those of the patient’s physician. The former may anticipate complete extirpation of the disease, whereas the latter may reluctantly be forced to accept serial, noncurative treatments that preserve form and function as much as possible.| | | Next → | Single Page