Combined Surgical Method of Orbital and Periorbital Hemangioma Treatment in Infants

Abstract

Combined surgical method of treatment of progressive capillary hemangiomas by using cryosurgery and surgical excision in infants allows the choice of optimum tactics depending on features of the course and clinical picture in each individual case and provides achievement of high cosmetic and functional result of treatment. The early beginning of treatment in cases of fast progressing of the tumor allows prevention of extensive skin affection and amblyopia development.

The use of propranolol in the management of periocular capillary haemangioma—a systematic review

“…6,[34][35][36] Intralesional corticosteroids (triamcinolone) are sometimes used. Radiation, laser, 10 embolization, 9 and surgical excision 6,11 are other more invasive options, and the latter might have to be an earlier option in periocular IHs to minimize likelihood of amblyopia. 6 Propranolol is used by paediatric cardiologists in children as young few weeks to treat tachydysrhythmias, idiopathic hypertrophic subaortic stenosis, paroxysmal hypoxaemic spells, long Q-T syndrome, and congenital heart failure at doses up to 8 mg/kg/day in divided doses.…”

Pediatric orbital tumors - An overview

“…Many therapeutic options have been used, including intralesional or systemic steroids, surgery, embolization, radiation, interferon therapy, and laser therapy. [26][27][28][29] Systemic therapy with propranolol was serendipitously found to induce involution in capillary hemangiomas and is now popularly being used as a first-line treatment, especially for deep orbital lesions. The most common dose used is 2 mg/kg/day.…”

Periorbital and Orbital Infantile Hemangiomas

“…Varying techniques have been advocated including ultrasound dissection, 15 combined cryosurgery with surgical excision, 16 and standard There are no FDA-approved indications for propranolol in pediatric patients in the United States. Varying techniques have been advocated including ultrasound dissection, 15 combined cryosurgery with surgical excision, 16 and standard There are no FDA-approved indications for propranolol in pediatric patients in the United States.…”