Amblyopie et hémangiome orbito-palpébral capillaire chez le jeune enfant : dépistage et évolution pré et post-chirurgicale

Momtchilova, M.; Pelosse, B; Diner, P.A.; Vazquez, M.-P.; Laroche, L.

doi:10.1016/s0181-5512(04)96282-1

Cited by 13 publications

(3 citation statements)

References 19 publications

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“…The same patient later needed surgical scar revision. Other studies showing successful primary removal without complications either reported on a few moderately sized lesions,5,9 or removal done under ultrasonic guidance using a Dissectron 10,11. In this case series, preoperative parenteral corticosteroid injections, known to reduce volume and blood flow in haemangiomas,12 allowed for even large subdermal infantile hemangiomas to be completely and safely excised without postoperative fibrosis or disfigurement (Figure 1).…”

Section: Discussionmentioning

confidence: 76%

Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants

Essawy

Galal²

2013

OPTH

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BackgroundThe purpose of this study was to evaluate the results and complications of early surgical resection of large amblyogenic subdermal eyelid hemangiomas in infants after prior short-term parenteral administration of corticosteroids.MethodsSixteen infants were given dexamethasone 2 mg/kg/day in two divided doses for three consecutive days prior to scheduled surgical excision of large eyelid hemangiomas. The lesions were accessed via an upper eyelid crease, subeyebrow incision, or a lower eyelid subciliary incision.ResultsIn all cases, surgical excision of the entire lesion was possible with no significant intraoperative or postoperative complications. The levator muscle/aponeurosis complex was involved in 31.25% of cases and was managed by reinsertion or repositioning without resection. A satisfactory lid position and contour with immediate clearing of the visual axis was achieved in all but one case (93.8%).ConclusionParenteral corticosteroids helped in reducing volume and blood flow from the hemangiomas, allowing for very early total excision of large subdermal infantile hemangiomas without significant intraoperative hemorrhage. This resulted in immediate elimination of any reason for occlusion amblyopia. Long-term follow-up of visual development in these patients would help to demonstrate the effectiveness of this strategy compared with more conservative measures.

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Section: Discussionmentioning

confidence: 76%

Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants

Essawy

Galal²

2013

OPTH

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“…IH involving the chin, inferior lip, and anterior region of the neck present the highest risk for laryngeal involvement with secondary airway obstruction . Periorbital and palpebral IH are at risk of developing ophthalmological complications, mainly anisometric and deprivation amblyopia . Nasal hemangiomas may cause nasal deformity and displacement of the alar cartilages, impairing the normal growth of the nose .…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Periorbital and palpebral IH are at risk of developing ophthalmological complications, mainly anisometric and deprivation amblyopia. [11][12][13] Nasal hemangiomas may cause nasal deformity and displacement of the alar cartilages, impairing the normal growth of the nose. 14 Labial IH do not usually cause functional problems but are frequently responsible for permanent anatomical deformities, with important psychosocial consequences.…”

Section: Introductionmentioning

confidence: 99%