Hemangiomas in Infants and Children

Reconstruction of the Tongue Defect after Excision of Cavernous Hemangioma with Rotational Advancement flap in A Child

“…[6][7][8][9] A useful approach to the management of hemangiomas can be based on the stage of the lesion (proliferative or involutive phase), type of lesion (supercial, deep, compound) and the management of residual deformity. 10,11 In general, life-threatening and sight-threatening hemangiomas should be dealt with, regardless of the stage of the lesion. Active intervention should be considered in all disfiguring hemangiomas, but each case should be managed on its merits after careful discussion and counselling, to prevent potential psychosocial trauma and cosmetic deformity.…”

Evaluation of hemangioma management in Erbil city

“…The age of the patients in this group ranged from three months to one and half year. Thus, steroids form the mainstay of treatment of hemangiomas during the proliferative phase, 9 with intralesional therapy for localized and periorbital hemangiomas 16,17 and systemic therapy for large and diffusel hemangiomas 17,18 ( Figure 1 and 2). a c b Combined modality approach for the management of significantly large hemangiomas also resulted in an improved outcome in a majority of patients (80% moderate to excellent improvement), with steroids and surgical excision (Figure 4).…”

“…Thus, it can be concluded that obstruction and ulceration are the most common indications for management of hemangiomas during the proliferative phase. 9,21 Comparison of treatment outcomes between treatment groups revealed that there was significant difference in outcome among various treatment groups. This can be explained on the basis that surgical excision and combined approach eliminated hemangioma more completely.…”

“…Previous complacency in treatment is changing to a more proactive approach to circumvent immanent esthetic sequelae. 9 Anatomic location, lesion size, and patient age are three important drivers in the decision of whether to intervene. A nickel-size lesion on the tip of a newborn nose poses a different problem from the same lesion located at the base of the occiput; a 3-cm hemangioma in a perineal fold is more likely to ulcerate and become infected than an identical subclavicular lesion.…”

“…11 The aim of this study was to identify those lesions that are most likely to require treatment and how to select the treatment modality that is best suited for a particular individual with emphasis on the timing of intervention, particularly focusing on outcomes following various managements (steroid or surgical treatment), to enable plastic and maxillofacial surgeon to develop an approach in the management of these esthetically, functionally, and psychosocially compromising congenital vascular tumor. 9 of observation, steroid, surgical excision or combined therapy. Observation selected for silent small, localized hemangioma that do not involve aesthetically or functionally important areas.…”