Hemangioma surgery
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Hemangioma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hemangioma surgery On the Web |
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American Roentgen Ray Society Images of Hemangioma surgery |
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 of the parotid, nasal tip, subglottis, and eyelid. Repeat therapy is often required, but systemic side effects are limited [16]. 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.