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Surgical treatment of infantile hemangioma in a multidisciplinary vascular anomalies clinic. Int J Pediatr Otorhinolaryngol 2011 Oct;75(10):1271-4 PMID: 21803434

Pubmed ID

21803434

Abstract

OBJECTIVE: (1) Discuss indications for surgical treatment of infantile hemangioma (IH); (2) describe outcomes, management of complications and long term surveillance of surgically treated IH.

STUDY DESIGN: Retrospective.

SUBJECTS AND METHODS: The charts of children seen in a dedicated vascular anomalies center at a tertiary pediatric hospital were reviewed.

RESULTS: Out of 1012 patients diagnosed with IH over 27 months, 92 patients, predominantly caucasian female, with an average age of 36 months, underwent surgery for 94 lesions. Head and neck lesions accounted for 67% of the population and 51 lesions were located on the face. Surgical indications included bleeding, functional impairment, ulceration and cosmetic disfigurement. Mean surface area was 7.75 cm². Although lesions requiring additional procedures were larger (median 5.5 cm²) than single-stage excisions, this difference was not statistically significant (P=0.09). Head and neck lesions were more likely to require multiple modality treatment (P=0.003). There was no identified objective criteria to predict head and neck lesions that are more likely to be associated post-operative complications.

CONCLUSIONS: Most IH do not require treatment. The majority of infantile hemangioma occurred on the head and neck. When significant functional impairment, ulceration, bleeding, cosmetic deformity is encountered or anticipated, surgical therapy can be performed at any clinical phase with few complications and favorable outcomes.

Author List

Daramola OO, Chun RH, Nash JJ, Drolet BA, North PE, Jensen JN, Kerschner JE

Authors

Robert H. Chun MD Associate Professor in the Otolaryngology department at Medical College of Wisconsin
Beth A. Drolet MD Professor in the Dermatology department at Medical College of Wisconsin
John N. Jensen MD Associate Professor in the Plastic Surgery department at Medical College of Wisconsin
Joseph E. Kerschner MD Provost, Executive Vice President, Dean, Professor in the Dean department at Medical College of Wisconsin
Paula E. North MD, PhD Professor in the Pathology department at Medical College of Wisconsin




Scopus

2-s2.0-80052344299   6 Citations

MESH terms used to index this publication - Major topics in bold

Child
Child, Preschool
Combined Modality Therapy
Female
Head and Neck Neoplasms
Hemangioma
Hospitals, Pediatric
Humans
Infant
Male
Patient Selection
Retrospective Studies
Treatment Outcome
jenkins-FCD Prod-300 626508253d14e4184314fb9f66322a03a5906796