TÇCD 2011 29. National Pediatric Surgery Congress and 27. National Congress of The Egyptian Pediatric Surgical Association

Surgical Treatment of Craniofacial

Haemangioma

Kamal Abdel-Elah Aly,MD

Pediatric surgery unit ,Department of Surgery, , Mansoura University Hospital, Mansoura, Egypt.

 

 

Background/purpose:

Infantile haemangiomas are the commonest tumors of infancy with an incidence of up to 12%. Craniofacial area are affected in 60% of cases which represents a theraputic challenge. The purpose of the study is to evaluate  indications,  results and  complications of early surgical management of craniofacial haemangiomas.

 

Materials and Methods:

 28 cases with craniofacial haemangiomas (18 females and 10 males) were subjected to surgical treatment between 2006-2010. for each patient, age, sex, site, indication of surgery and post operative complications were recorded.

  

Results:

 all cases of the study had single lesion. Surgery consisted of complete, one stage excision with primary closure (19 cases) or closure with local flaps (9 cases).

• postoperative complications(17,9%) included partial disruption (2 cases), haematoma formation (one case), partial skin necrosis (one case) and infection(one case).

  Conclusion:

• We can conclude that, the surgical treatment is the prime goal in cases of haemangioma so far it is resectable. Especially if obstructing vital functions. There is no way to stay beside haemangioma waiting whether involution will occure or not .

 

Index words:   Haemangioma ,craniofacial, surgery.

Surgical Treatment of Craniofacial

Haemangioma

Kamal Abdel-Elah Aly,MD

Pediatric surgery unit ,Department of Surgery, , Mansoura University Hospital, Mansoura, Egypt.

 

 

Background/purpose:

Infantile haemangiomas are the commonest tumors of infancy with an incidence of up to 12%. Craniofacial area are affected in 60% of cases which represents a theraputic challenge. The purpose of the study is to evaluate  indications,  results and  complications of early surgical management of craniofacial haemangiomas.

 

Materials and Methods:

 28 cases with craniofacial haemangiomas (18 females and 10 males) were subjected to surgical treatment between 2006-2010. for each patient, age, sex, site, indication of surgery and post operative complications were recorded.

  

Results:

 all cases of the study had single lesion. Surgery consisted of complete, one stage excision with primary closure (19 cases) or closure with local flaps (9 cases).

• postoperative complications(17,9%) included partial disruption (2 cases), haematoma formation (one case), partial skin necrosis (one case) and infection(one case).

  Conclusion:

• We can conclude that, the surgical treatment is the prime goal in cases of haemangioma so far it is resectable. Especially if obstructing vital functions. There is no way to stay beside haemangioma waiting whether involution will occure or not .

 

Index words:   Haemangioma ,craniofacial, surgery.