Year: 2026
Type: conference-abstract
Abstract: Background: Hemangiomas are benign lesions resulting from the anomalous proliferation of blood vessels, forming blood-filled structures lined by endothelium in continuity with the vascular system. They may be congenital in origin or associated with traumatic events, varying widely in size, location, and clinical presentation. When located within the territory of the facial artery, they gain clinical relevance due to the anatomical complexity of the region, the risk of significant bleeding, and the potential aesthetic impact. Embolization treatment reduces the risk of bleeding and deformities, representing a less invasive and effective option. Objective: To evaluate the demographic profile and the endovascular approach in the treatment of facial artery hemangiomas. Methods: A retrospective observational study of 54 cases of facial artery hemangioma treated endovascularly at a neurosurgery reference center between March 2020 and December 2025. The variables collected included demographic data (age and sex), lesion location, approach route, embolizing material used, number of sessions, and presence of previous treatment. Results: The study analyzed 54 patients with a mean age of 22.09 years, showing a female predominance (40 women vs. 14 men). Regarding laterality, a prevalence of the left side (48.15%) was observed over the right side (40.74%) and bilateral involvement (11.11%). The most affected anatomical regions were the malar (39 cases) and labial (36 cases) areas, followed by the nasal and palpebral regions (8 cases). All procedures were performed under general anesthesia, with a preference for the percutaneous route (88%) compared to the endovascular route (8.97%). The predominant embolization protocol was the association of absolute alcohol and bleomycin sulfate (76.9%). Notably, 59.25% of the sample did not require reintervention, with a single session being the modal frequency of treatment, while the remainder required one or more reinterventions. Conclusion: Percutaneous (88%) and endovascular treatment of facial artery hemangiomas proved to be effective and minimally invasive, with high resolution in a single session. The predominant profile consisted of young women, with lesions in the malar and labial regions. The use of sclerosing agents ensured vascular control and aesthetic preservation within the complex facial anatomy.
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W7225044944