Shanghai Journal of Stomatology ›› 2025, Vol. 34 ›› Issue (5): 449-456.doi: 10.19439/j.sjos.2025.05.001

• Expert Consensus • Previous Articles     Next Articles

Expert consensus on bleeding management of vascular anomalies in the oral and maxillofacial region

Wang Deming1, Su Lixin1, Yang Yaowu2, Liu Shaohua3, Gong Zhongcheng4, Liang Xinhua5, Cai Yu6, Liu Yunan7, Qin Zhongping8, Dong Changxian9, Chen Chuanjun10, Lyu Shaohua11, Yu Guoxia12, Guo Lei13, Zhang Sheng14, Shen Gang15, Meng Jian16, Li Haibo17, Yin Jie18, Zheng Jiawei19, Fan Xindong1   

  1. 1. Department of Intervention Therapy, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    2. Department of Oral and Maxillofacial Surgery, School of Stomatology, Air Force Military Medical University. Xi'an 710032, Shaanxi Province;;
    3. Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University. Jinan 250012, Shandong Province;
    4. Oncological Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University. Urumqi 830000, Xinjiang Uygur Autonomous Region;
    5. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
    6. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
    7. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
    8. Special Department of Vascular Anomalies, Linyi Cancer Hospital. Linyi 276100, Shandong Province;
    9. Department of Hemangioma and Vascular Malformation, Henan Provincial People's Hospital, Zhengzhou University. Zhengzhou 453000, Henan Province;;
    10. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province;
    11. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Harbin Medical University. Harbin 150001, Heilongjiang Province;
    12. Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health. Beijing 100045;
    13. Department of Hemangioma and Interventional Vascular Surgery, Children's Hospital Affiliated to Shandong University(Jinan Children's Hospital). Jinan 250022, Shandong Province;
    14. Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital, Central South University. Changsha 410011, Hunan Province;
    15. Vascular Anomalies and Vascular Interventional Center, Capital Center for Children's Health, Capital Medical University. Beijing 100020;
    16. Department of Stomatology, Xuzhou Central Hospital. Xuzhou 221009, Jiangsu Province;
    17. Department of Interventional Radiology and Vascular Anomalies, Guangzhou Women and Children's Medical Center, Guangzhou 510623, Guangdong Province;
    18. Department of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health. Beijing 100045;
    19. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2025-07-14 Revised:2025-08-03 Online:2025-10-25 Published:2025-10-31

Abstract: Oral and maxillofacial region is the most common site for the onset of vascular anomalies. Some vascular anomalies can lead to bleeding, which may be the first noticeable symptom. Due to the rich blood supply and the proximity to the respiratory tract, bleeding in this area is particularly challenging to manage. If not treated promptly or if inappropriate methods are used, they may result in serious complications. To address this issue, we invited a group of domestic experts with extensive experience in diagnosing and treating vascular anomalies in oral and maxillofacial region to formulate this consensus. The goal is to provide guidance and recommendations for medical professionals on the management of bleeding associated with these vascular lesions.

Key words: Oral and maxillofacial region, Vascular anomalies, Bleeding, Treatment, Expert consensus

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