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[Treatment of infantile parotid hemangioma with propranolol]
Xue-jian Liu1, Zhong-ping Qin, Mao-zhong Tai
1Department of Hemangioma, Tumor Hospital of Linyi City, Linyi Shandong 276000, China.
Insights
Low-dose oral propranolol effectively treats infantile parotid hemangioma, showing excellent short-term results with minimal side effects in infants. This treatment offers a safe option for managing these benign vascular tumors.
Area of Science:
- Pediatric Oncology
- Dermatology
- Pharmacology
Context:
- Infantile hemangiomas are common benign vascular tumors in children.
- Parotid gland hemangiomas can cause cosmetic and functional issues.
- Limited effective and safe treatment options exist for parotid hemangiomas.
Purpose:
- To assess the efficacy and safety of propranolol for infantile parotid hemangioma.
- To evaluate short-term treatment outcomes and adverse effects.
Summary:
- Seventeen infants with parotid hemangioma received oral propranolol (1.0-1.5 mg/kg/day).
- Tumor size, texture, and color changes were monitored weekly.
- Excellent response (Scale III/IV) observed in all 17 patients within 5-10 months, with no serious adverse events.
Impact:
- Low-dose propranolol is a safe and effective treatment for infantile parotid hemangioma.
- This approach yields excellent short-term outcomes with minimal side effects.
- Provides a promising therapeutic strategy for pediatric head and neck vascular lesions.
Objective:
To evaluate the short-term results and safety of propranolol for the treatment of infantile parotid hemangioma.
Methods:
Oral propranolol was administered to 17 infants with parotid hemangioma at a dose of 1.0-1.5 mg per kilogram of body weight per day. The patients were revisited once a week. The changes of the tumor size, texture and colour were monitored and recorded at a regular interval. The adverse effects after medication were observed and managed accordingly. The short-term results were evaluated using a 4 scales system.
Results:
Among the 17 patients treated, the follow-up time was 5 to 10 months. The overall response was scale I in 0 patient, scale II in 0 patients, scale III in 5 patients, and scale IV in 12 patients. No serious adverse effects were encountered.
Conclusions:
Oral propranolol at a lower dose is a safe and effective method for the treatment of infantile parotid hemangioma. The short-term results were excellent and the side effects minimal.
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