Current treatment of parotid hemangiomas

Abstract

Multiple treatment regimens have been used to successfully treat parotid hemangiomas. Although propranolol is a recent addition, it seems most promising. Further evaluation is warranted.

Pediatric parotid tumors: Clinical review of 24 cases in a Chinese population

“…Some authors [38,39] advocated conservative parotidectomy for benign salivary gland tumors; however, the recurrence rate with this procedure has not been reported in pediatric group. Recently, the use of facial nerve monitoring or neurophysiological intraoperative monitoring has improved the functional preservation of the facial nerve [15]. In our study, two pleomorphic adenomas and one hemangioendothelioma had favorable outcomes after conservative parotidectomy.…”

“…More recently, propranolol has been found to be effective to treat parotid hemangioma; however, the further revaluation is warranted [15]. Localized therapies such as topical of imiquimod and intralesional injection with corticosteroids, ethyl alcohol or Bleomycin A5 are commonly therapeutic modalities [16][17][18].…”

Infantile Hemangioendothelioma of the Parotid Gland

“…Weiss and oth- er presented 56 children with IH of parotid gland, 70% being females [5]. Bluish or purple discoloration of overlying skin is a helpful clinical sign [6,7].…”

Extracranial Embolization

“…8 It has also been used for preoperative or de fi nitive treatment of haemangiomas. 58 When using the sclerotherapy technique for arteriovenous malformations, an arterial catheter is used to angiographically localize the target lesion and monitor progress. Angiographic catheters are not used when treating venous or lymphatic malformations.…”