Hemangioma

Hemangiomas - Andre Panossian MDHemangioma (or infantile hemangioma) is a common, well-described vascular anomaly and is present in 1 out of 10 children. Technically, it is a benign vascular tumor of infancy that is usually not present at birth and appears a few days to weeks later. It typically begins as a small red patch or blemish and can rapidly grow to take on its classic appearance. Although most occur in the head and neck region, these tumors or vascular birthmarks can occur virtually anywhere on the body. The life cycle of these birthmarks is very predictable. After their initial presentation, hemangiomas go through a proliferative phase in the first year of life, where they can grow. Eventually, growth stops and the tumor enters a plateau phase. Hemangiomas will then go through a period of involution that may last anywhere between 5 to 10 years until they disappear.

Much confusion surrounds the term “hemangioma.” Many have ascribed this entity to other vascular malformations such as venous malformations which look and behave much differently than true hemangiomas. Some of the words used to describe these birthmarks are “strawberry mark” or “capillary hemangioma.”

IH3-e1300731936878Since most of these marks disappear over time, simple observation is usually all that is required. However, when hemangiomas occur on the face, they can pose a problem for vision, hearing or breathing, not to mention they can be unsightly or disfiguring. They can also ulcerate or bleed profusely. Treatment depends on the extent of the hemangioma and the parents’ wishes. For example, a small hemangioma that is present on the forehead or cheek may be excised. However, larger hemangiomas covering a portion of the face may not be amenable to surgery and may potentially benefit from medical therapy. Medications given by mouth include beta blockers (eg, propranolol or acebutalol) or steroids. Alternatively, problematic portions of large hemangiomas may respond well with one or more injections of steroids every 4 to 6 weeks. Parents frequently ask if lasers may be beneficial. Most hemangiomas are too thick to be treated with lasers. However, there are faint, superficial hemangiomas that may respond well. Also, if caught early, laser treatment may possibly control their growth. Consult Dr. Panossian for an evaluation of your child’s hemangioma for optimal treatment.

Dr. Panossian is an international expert on hemangiomas and other vascular anomalies and has treated hundreds of patients with these lesions. He belongs to the International Society for the Study of Vascular Anomalies, recognized as the preeminent organization for investigating and improving the understanding of all things related to vascular anomalies.

Preop
hemangioma_excision_preop2-e1300732250547

Postop
hemangioma_excision_postop1-e1300732390940

PLASTIC SURGERY NEWS

Researchers have developed a fast and inexpensive way to make facial prostheses for eye cancer patients using facial scanning software and 3-D printing, according to findings released at AAO 2014... read more >>

The latest interim data from XPAND, AirXpanders Inc.'s U.S.-based, head-to-head pivotal study of its new, needle-free, patient-controlled tissue expansion system for mastectomy patients undergoing... read more >>

Patients who have plastic surgery to reshape their bodies after bariatric procedures are able to maintain "significantly greater" weight loss than those who do not have surgery, according to a new... read more >>

Flap viability index can show critical level of blood flow for popular DIEP technique, reports study in PRS Global OpenFor women undergoing breast reconstruction using the advanced "DIEP"... read more >>

An international research group including Viennese pathologist Lukas Kenner has reviewed cases of possible association between breast implants and a form of lymphoma that may develop tumours at a... read more >>

New insights into botulinum neurotoxins and their interactions with cells are moving scientists ever closer to safer forms of Botox and a better understanding of the dangerous disease known as... read more >>

A new standardized assessment provides a useful tool for tracking surgeons' progress as they develop the skills needed to perform robot-assisted microsurgery, reports a study in the October issue of... read more >>

Information plus patient preferences can help in sorting through reconstruction options, according to plastic and reconstructive surgeryDecision analysis techniques can help surgeons and patients... read more >>

Patients who lost more than 100 pounds and those who shed weight through bariatric surgery had the highest risk of complications from later surgical procedures to reshape their leaner bodies, a new... read more >>