Surgical Management of Scalp Infantile Hemangiomas

Cho, Young Kyoo; Ryu, Dong Wan; Chung, Ho Yun; O, Teresa M.; Blei, Francine; Waner, Milton

doi:10.1097/scs.0000000000001561

Cited by 12 publications

(14 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Even before the use of propranolol treatment, parotid IH have been reported to respond well to non-invasive therapies. [7][8][9] Although previous reports have suggested surgical resection as an optimal management for large IH on the scalp, [10][11][12] our study showed that lesions on the scalp have a particularly high VR score. However, we were not able to include an analysis of the initial lesion size; therefore, it is uncertain whether lesion size is a more important predictor of volumetric sequelae than location.…”

Section: Discussioncontrasting

confidence: 53%

Location of infantile hemangioma is a predictor of volumetric sequelae after involution

Chang

et al. 2019

The Journal of Dermatology

View full text Add to dashboard Cite

Although infantile hemangiomas (IH) spontaneously involute, some leave more volumetric sequelae than others. Identifying predictors of such sequelae would provide a management reference for IH lesions and help achieve favorable outcomes. Our objective is to explore the correlation between volumetric residue remaining after IH involution and its location and to identify other potential outcome predictors. All IH patients examined at our hospital from 2008 to 2011 were reviewed, and both the degree of volumetric residue after involution and the quantified degree of sequelae were obtained by comparing follow‐up photographs with photographs of lesions at their maximum size. We discovered that for children with a defined age at the initial visit, lesions of the perifacial area achieved significantly more volumetric regression than lesions of the central facial (P < 0.0001) and chest areas (P = 0.0002). Perifacial lesions had a significantly higher aesthetic score than those on the central facial area (P < 0.0001), chest (P < 0.0001) and trunk/extremities (P = 0.0226) when the age at initial visit and lesion type were consistent. Our study reveals that lesion location and age at initial visit are contributing factors to volumetric sequelae and the aesthetics of the lesion after involution. The results of this study provide a reference to guide treatment decisions with the aim of achieving a favorable outcome.

show abstract

Section: Discussioncontrasting

confidence: 53%

Location of infantile hemangioma is a predictor of volumetric sequelae after involution

Chang

et al. 2019

The Journal of Dermatology

View full text Add to dashboard Cite

show abstract

“…Although hemangiomas with significant ulceration and bleeding often warrant surgical or interventional procedures , our patient's hemangioma responded rapidly to fluid resuscitation, red blood cell transfusion, and proper wound care, obviating the need for invasive imaging and interventions. The parental report of blood spurting from the wound indicates that perhaps the ulceration extended through an artery.…”

Section: Discussionmentioning

confidence: 82%

Scalp Infantile Hemangioma Complicated by Life‐Threatening Bleeding

Charny

Moon

Treat

2017

Pediatric Dermatology

View full text Add to dashboard Cite

show abstract

“…Читайте нас на сайті: http://med-expert.com.ua частині голови можуть утворюватися «глибокі» виразки з розвитком значної кровотечі [14,16].…”

Section: оглядиunclassified

“…Хірургічне лікування включає ранні та відтерміновані втручання з різними показаннями й наслідками. Ранні втручання показані у дітей з обструктивними проявами ІГ (періорбітальні, пара-і субглоткові ІГ) за наявності протипоказань до використання пропранололу (бронхіальна астма, вроджені блокади серця) [47], при розвитку органної дисфункції, виникненні кровотечі або ІГ, локалізованих на волосистій частині голови [16]. До переваг хірургічного втручання можна віднести швидке повне видалення утворення, короткий період лікування і покращення вигляду зони ураження, проте після втручання можуть залишатися деформовані рубці, які, своєю чергою, потребують хірургічної корекції.…”

Section: місцева терапіяunclassified

Infantile hemangioma

Pereyaslov¹,

Rybalchenko²,

Losev³

2020

View full text Add to dashboard Cite

Infantile hemangioma is one of the most common benign vascular malformations in children. Besides that, some questions about classification, diagnostic, and choice of method of treatment remains the questionable. The modern data about classification, clinical course, diagnostic, and main principles of treatment of infantile hemangioma are presented in this work. In most cases, the uncomplicated clinical course of infantile hemangioma was observed. However, in some patients the complications may arise. Ulceration, obstruction, functional impairment, and disfigurement are the most often complications of infantile hemangioma. Although, most infantile hemangiomas tend to regress spontaneously, some of them required the treatment. Applying of the β-blockers (systemic or topical), laser therapy, and surgery are the main methods that used for the treatment of infantile hemangiomas. Patients with infantile hemangiomas, despite the simplicity of diagnostic, should be treated on specialized centers. Early detection of at-risk infantile haemangioma is a major point, requiring an increased awareness by paediatricians, with the aim to prevent the complications development. However, it was proven the efficacy of propranolol treatment for the all types of infantile hemangiomas, the long-term follow-up studies are needed to assess its safety with regard to neurodevelopment. No conflict of interest was declared by the authors. Key words: infantile hemangioma, diagnostic, treatment.

show abstract

Surgical Management of Scalp Infantile Hemangiomas

Cited by 12 publications

References 14 publications

Location of infantile hemangioma is a predictor of volumetric sequelae after involution

Location of infantile hemangioma is a predictor of volumetric sequelae after involution

Scalp Infantile Hemangioma Complicated by Life‐Threatening Bleeding

Infantile hemangioma

Contact Info

Product

Resources

About