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Whether
hemangiomas need to be treated or not is a subject
of controversy because almost all hemangiomas
involute (with or without any sequela). This page is
dedicated to explaining available treatment
regimens. It is important to note that early
recognition and appropriate referral are critical in
order to obtain best possible outcomes. Although,
it is commonly stated that most hemangiomas
disappear without any treatment and no treatment is
initiated in the majority of patients, approximately
50-60% of children with hemangiomas require
corrective surgery because of incomplete resolution
of the hemangioma causing a residuum of
telengiectasia, epidermal atrophy and/or excessive
fibrofatty tissue. The goal of treatment would be
the minimization of complications, maximization of
the amount of normal skin at the end of involution
phase, and a decrease in the age at which complete
regression is obtained.
There
are a few instances in which a consensus exists
among physicians to initiate some form of treatment.
These instances typically include periorbital
hemangiomas (causing a threat to vision), visceral
hemangiomas (liver, gastrointestinal, brain etc.),
hemangiomas with high-output heart failure,
hemangiomas with significant or persistent
ulcerations, and airway hemangiomas. Treatment for
other hemangiomas is controversial and may vary
among physicians who treat hemangiomas.
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Click
the available treatment options below for more
information:
References:
A.M.
Margileth. Pediatric Dermatology 1997;14:57-83
/ Bowers
RE, Graham EA, Tomilson KM. Arch Dermatol
1960;83:667-680
/ Edgerton
MT, Hiebert JM. Hemangiomas. Curr Probl Cancer
1978;2:1
/ Finn M,
Glowacki J, Mulliken JB. J Pediatr Surg 1983;18:894
/ Jacobs
AH. Ca Med 1957;86:8-10
/ Goldberg
GN. Pediatric Dermatology 1997;14:57-83
/ Morelli
JG. Pediatric Dermatology 1997;14:57-83
/ Morelli
JG, Tan OT, Weston WL. Am J Dis Child
1991;145:1062-4
/ Mulliken
JB. Pediatric Dermatology 1997;14:57-83
/ Moroz
B. Pediatric Dermatology 1997;14:57-83
/ Rogers
M. Pediatric Dermatology 1997;14:57-83
/ Rothman
KF. Pediatric Dermatology 1997;14:57-83
/ Sadan
N, Wolach B. J Pediatr 1996;128:141-146
/ Sloan
GM, Reinisch JF, Nichter LS, et al. Plast Reconstr
Surg 1989;83:459-466
/ Waner
M. Pediatric Dermatology 1997;14:57-83
/ Waner
M, Suen JY. Laryngoscope 1992;102:1123-32
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