Surgical Treatment of Hemangiomas of the Nose

Pitanguy, Ivo; Machado, Bárbara Helena Barcaro; Radwanski, Henrique N.; Amorim, Natale F. Gontijo de

doi:10.1097/00000637-199606000-00005

Cited by 56 publications

(46 citation statements)

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“…346,347,350,[353][354][355][356][357] All of these publications predate the treatment of IH with propranolol, which has clearly changed the management paradigm. The major issues in surgery for IHs of the nasal tip relate to adequate access and the ability to dispose of the excess skin once the lesion has been removed.…”

Section: Figure 16mentioning

confidence: 99%

Diagnosis and Management of Infantile Hemangioma

Darrow¹,

Mancini²,

Nopper³

et al. 2015

Pediatrics

211

290

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Infantile hemangiomas (IHs) are the most common tumors of childhood. Unlike other tumors, they have the unique ability to involute after proliferation, often leading primary care providers to assume they will resolve without intervention or consequence. Unfortunately, a subset of IHs rapidly develop complications, resulting in pain, functional impairment, or permanent disfigurement. As a result, the primary clinician has the task of determining which lesions require early consultation with a specialist. Although several recent reviews have been published, this clinical report is the first based on input from individuals representing the many specialties involved in the treatment of IH. Its purpose is to update the pediatric community regarding recent discoveries in IH pathogenesis, treatment, and clinical associations and to provide a basis for clinical decision-making in the management of IH.

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Section: Figure 16mentioning

confidence: 99%

Diagnosis and Management of Infantile Hemangioma

Darrow¹,

Mancini²,

Nopper³

et al. 2015

Pediatrics

211

290

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show abstract

“…They are usually subcutaneous or mixed superficial and subcutaneous lesions that occupy the space between the skin and the nasal tip and lower lateral cartilages [15]. Nasal hemangioma are often slow to regress, leaving excess wrinkled nonelastic skin, residual fibrofatty tissue with a permanently bulbous nasal tip, visible teleangiectases or contour deficiencies [11,13,14,17,19,20,27].…”

Section: Nasal Hemangiomasmentioning

confidence: 99%

“…The treatment choices of nasal hemangiomas are still controversial considering use of preoperative medical treatment, timing of surgery, surgical approach and necessity of skin resection [15,27]. Pharmacological, surgical or laser interventions are current treatment options for nasal hemangiomas [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. A "no-touch" or conservative approach for the treatment of nasal hemangiomas was previously advocated with frequent consultations with the parents to furnish psychological support [26].…”

Section: Treatment Optionsmentioning

confidence: 99%

“…They performed before school age without previous conservative treatment [19]. Pitanguy advocated an elliptical midline incision over the dorsum of the nose that can give good functional results but with obvious midline scar on the back of the nose, and the excision of the dog ear may cause extensions of the incision up into the glabellar region, which may lead to an unsatisfactory aesthetic result [20,24]. Jackson presented excision of a nasal tip hemangioma via open rhinoplasty procedure, with step incision on columella, proceeding on both sides of columella, and continuing just inside the alar rims.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…The management of hemangioma is an area of great controversy [6]. Current options are conservative treatment (corticosteroids, interferons, hemiotherapy, propranolol), laser treatment, and surgical treatment [6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Corticosteroids were generally accepted to be the first-line therapy for hemangiomas [6].…”

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confidence: 99%

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Surgical Management of Nasal Hemangiomas

Vlahovic¹

2011

Rhinoplasty

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Hemangiomas of the Nose

Waner

Kastenbaum

Scherer

2008

Archives of Facial Plastic Surgery

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To study a new surgical approach to pediatric nasal hemangiomas and the need for early surgical intervention. Childhood hemangiomas are most common in the head and neck area. They can result in lifealtering situations by causing airway obstruction, disfigurement, ulceration, and other adverse effects. Design: A retrospective study of 44 consecutive patients with hemangiomas treated in our clinic during the last 9 years. The clinical characteristics of these hemangiomas are assessed and the outcome after surgery is discussed with respect to different surgical approaches. A new modified subunit approach is introduced. Results: Based on the subunit principle, the incision line was modified to allow better access to all nasal subunits. The results using this technique were superior to the results using conventional incisions with respect to accessibility of the tumor, ability to trim excess skin after tumor removal, and aesthetic outcome. In contrast to reports in the literature, early surgical intervention is advocated as a result of this study. Conclusions: This modified surgical technique shows superior results to the techniques used in earlier years. We strongly advocate early surgical intervention.

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Surgical Treatment of Hemangiomas of the Nose

Cited by 56 publications

References 0 publications

Diagnosis and Management of Infantile Hemangioma

Diagnosis and Management of Infantile Hemangioma

Surgical Management of Nasal Hemangiomas

Hemangiomas of the Nose

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