Management of Midfacial and Skull Vault Osseous Vascular Lesions

There continuous to be widespread misuse of nomenclature used to described vascular anomalies , This is even more pronounced in the case of intra-osseous lesions. Bone involvement is more common with vascular malformations and extremely rare in haemangiomas. An accurate diagnosis is mandatory for tailored management and often based on a thorough history, clinical examination, and cross-sectional imaging. Surgery remains the main stay for the management of symptomatic venous malformations. Embolisation with or without surgery is the main stay for arteriovenous malformations . Virtual surgical planning, with surgical guides and patient specific implants help achieve predictably excellent results.