Journal article
Surgical treatment of infantile hemangioma in a multidisciplinary vascular anomalies clinic
International journal of pediatric otorhinolaryngology, Vol.75(10), pp.1271-1274
10/01/2011
DOI: 10.1016/j.ijporl.2011.07.007
PMID: 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 cm(2). Although lesions requiring additional procedures were larger (median 5.5 cm(2)) 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. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
Details
- Title: Subtitle
- Surgical treatment of infantile hemangioma in a multidisciplinary vascular anomalies clinic
- Creators
- Opeyemi O. Daramola - Medical College of WisconsinRobert H. Chun - Med Coll Wisconsin, Dept Otolaryngol & Commun Sci, Div Pediat Otolaryngol, Childrens Hosp Wisconsin, Milwaukee, WI 53201 USAJohn J. Nash - Affiliated Hosp, Milwaukee, WI USABeth A. Drolet - Affiliated Hosp, Milwaukee, WI USAPaula E. North - Affiliated Hosp, Milwaukee, WI USAJohn N. Jensen - Affiliated Hosp, Milwaukee, WI USAJoseph E. Kerschner - Affiliated Hosp, Milwaukee, WI USA
- Resource Type
- Journal article
- Publication Details
- International journal of pediatric otorhinolaryngology, Vol.75(10), pp.1271-1274
- Publisher
- Elsevier
- DOI
- 10.1016/j.ijporl.2011.07.007
- PMID
- 21803434
- ISSN
- 0165-5876
- eISSN
- 1872-8464
- Number of pages
- 4
- Language
- English
- Date published
- 10/01/2011
- Academic Unit
- Surgery
- Record Identifier
- 9984701654402771
Metrics
3 Record Views