Hemangioma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
==Surgery== | ==Surgery== | ||
Surgical management involves excision, laser treatment or both. Intralesional steroid treatment is also an option for focal hemangiomas | *Surgical management involves excision, laser treatment or both. | ||
*Intralesional steroid treatment is also an option for focal hemangiomas such as: | |||
:*Parotid | |||
:*Nasal tip | |||
:*Subglottis | |||
:*Eyelid | |||
*Repeat therapy is often required, but systemic side effects are limited. | |||
*Excision is the appropriate for localized lesions the fibrofatty remnants (residuum) of involuted hemangiomas. | |||
*Elective subtotal excision of massive protuberant proliferating hemangiomas can be employed in order to maintain aesthetic facial boundaries. | |||
*Small remnants of disease are then left for involution. | |||
*Residual erythema and telangiectasias frequently remain in involuted hemangiomas and are best treated by selective photothermolysis using the flash pulse dye laser (FPDL). *Similarly, ulcerative lesions during proliferation can be treated with FPDL to induce healing and new epidermal growth. | |||
===Pulsed dye laser=== | |||
Pulsed dye laser is considered to be effective choice for a series of skin disorders including superficial hemangiomas.<ref name="CaucanasPaquet2011">{{cite journal|last1=Caucanas|first1=Marie|last2=Paquet|first2=Philippe|last3=Henry|first3=Frédérique|last4=Piérard-Franchimont|first4=Claudine|last5=Reginster|first5=Marie-Annick|last6=Piérard|first6=Gérald E.|title=Intense Pulsed-Light Therapy for Proliferative Haemangiomas of Infancy|journal=Case Reports in Dermatological Medicine|volume=2011|year=2011|pages=1–5|issn=2090-6463|doi=10.1155/2011/253607}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 20:19, 17 November 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Surgery
- Surgical management involves excision, laser treatment or both.
- Intralesional steroid treatment is also an option for focal hemangiomas such as:
- Parotid
- Nasal tip
- Subglottis
- Eyelid
- Repeat therapy is often required, but systemic side effects are limited.
- Excision is the appropriate for localized lesions the fibrofatty remnants (residuum) of involuted hemangiomas.
- Elective subtotal excision of massive protuberant proliferating hemangiomas can be employed in order to maintain aesthetic facial boundaries.
- Small remnants of disease are then left for involution.
- Residual erythema and telangiectasias frequently remain in involuted hemangiomas and are best treated by selective photothermolysis using the flash pulse dye laser (FPDL). *Similarly, ulcerative lesions during proliferation can be treated with FPDL to induce healing and new epidermal growth.
Pulsed dye laser
Pulsed dye laser is considered to be effective choice for a series of skin disorders including superficial hemangiomas.[1]
References
- ↑ Caucanas, Marie; Paquet, Philippe; Henry, Frédérique; Piérard-Franchimont, Claudine; Reginster, Marie-Annick; Piérard, Gérald E. (2011). "Intense Pulsed-Light Therapy for Proliferative Haemangiomas of Infancy". Case Reports in Dermatological Medicine. 2011: 1–5. doi:10.1155/2011/253607. ISSN 2090-6463.