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Surgical management of auricular infantile hemangiomas. Arch Otolaryngol Head Neck Surg 2012 Jan;138(1):72-5

Date

01/18/2012

Pubmed ID

22249633

DOI

10.1001/archoto.2011.207

Scopus ID

2-s2.0-84855915887 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

OBJECTIVE: To report our experience with surgical management of auricular infantile hemangiomas and reconstruction of the affected ear.

DESIGN: Retrospective case series.

SETTING: Dedicated Birthmarks and Vascular Anomalies Center in a tertiary pediatric hospital.

PATIENTS: Ten patients with surgically treated, histopathologically confirmed auricular infantile hemangiomas.

MAIN OUTCOME MEASURES: Outcomes of surgical management.

RESULTS: The case series included 5 male and 5 female patients (age range, 4 months to 4 years). Indications for surgery were pain, bleeding, infection, and cosmetic deformity. Four patients had failed prior medical treatment, including pulsed dye laser, topical corticosteroids, and intralesional corticosteroids. Nine patients underwent single-stage resection. Otoplasty reconstruction was performed in 2 patients with hemangioma-induced deformities, while primary Z-plasty closure was performed in 2 patients with extensive lesions. No recurrence or complication has been reported to date.

CONCLUSIONS: Most infantile hemangiomas do not require treatment. Surgical excision of auricular infantile hemangiomas at any phase is effective in preventing fibrofatty scarring, reducing cartilage deformities, and treating complicated cases or patients who have failed medical management. Surgical excision with Z-plasty reconstruction is a viable option that should be considered to limit postoperative deformities.

Author List

Daramola OO, Chun RH, Kerschner JE

Authors

Robert H. Chun MD Professor in the Otolaryngology department at Medical College of Wisconsin
Joseph E. Kerschner MD Provost, Executive Vice President, Dean, Professor in the School of Medicine Administration department at Medical College of Wisconsin




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

Child, Preschool
Ear, External
Female
Hemangioma
Humans
Infant
Male
Retrospective Studies
Treatment Outcome