Faculty Collaboration Database

Surgical dissection of capillary hemangiomas. An alternative to intralesional corticosteroids. Arch Ophthalmol 1992 Dec;110(12):1743-7

Date

12/01/1992

Pubmed ID

1463416

DOI

10.1001/archopht.1992.01080240083036

Scopus ID

2-s2.0-0026448974 (requires institutional sign-in at Scopus site)   66 Citations

Abstract

Intralesional corticosteroids are often successful in reducing the size of functionally significant capillary hemangiomas. While they may have a better benefit-risk ratio than some earlier treatment methods, a number of serious complications have been reported recently. We believe these resulted from the hemodynamic continuity of capillary hemangiomas with the orbital and systemic circulation and that intralesional injections are intravascular. Surgery has generally been avoided because capillary hemangiomas are not encapsulated and piecemeal resection can produce significant bleeding. In carefully selected patients, we have used a surgical approach that involves dissection on the tumor's surface without entering its substance. Hemangiomas were removed en bloc from five patients with insignificant blood loss and excellent anatomic restoration.

Author List

Deans RM, Harris GJ, Kivlin JD

Author

Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin

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

Capillaries
Child
Child, Preschool
Eye
Eyelid Neoplasms
Female
Hemangioma
Humans
Infant
Male
Postoperative Period
Treatment Outcome