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Persistent Nasal Infantile Hemangioma: A Surgical Treatment Algorithm.

Carlos Giugliano1,2,3, Francisca Reculé4, Kenneth Guler2

  • 1Unidad de Cirugía Plástica, Departamento de Cirugía, Clínica Alemana.

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|July 28, 2018
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This summary is machine-generated.

Surgical intervention effectively corrects persistent nasal hemangiomas, particularly mixed infantile hemangiomas, with acceptable aesthetic outcomes and no reported complications. This study analyzed 23 cases, highlighting the importance of surgical management for residual fibro-fatty tissue.

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Area of Science:

  • Plastic Surgery
  • Pediatric Dermatology
  • Otolaryngology

Background:

  • Infantile hemangiomas often require medical treatment, but persistent nasal lesions with fibro-fatty components may necessitate surgical intervention.
  • The nose is a critical aesthetic and functional facial unit, making surgical management of hemangiomas crucial for optimal outcomes.
  • Mixed infantile hemangiomas show a higher propensity for persistence, impacting nasal aesthetics and function.

Purpose of the Study:

  • To analyze the surgical treatment outcomes for persistent nasal hemangiomas.
  • To review the literature and propose an algorithm for surgical management of nasal hemangiomas.
  • To evaluate the aesthetic results and complications associated with surgical nasal hemangioma treatment.

Main Methods:

  • Retrospective analysis of 23 patients with persistent nasal hemangiomas treated surgically between 1996 and 2014.
  • Data collected included hemangioma subtype, evolution phase, affected nasal subunit, prior treatments, surgical technique, complications, and follow-up.
  • Postoperative aesthetic results were assessed using the Strasser scale.

Main Results:

  • The average age of patients was 6.8 years; mixed hemangioma was the most common subtype (83%).
  • Surgery was predominantly performed during the involution phase (87%), with the nasal tip being the most affected subunit (44%).
  • The open rhinoplasty approach was the most frequent surgical technique, yielding acceptable aesthetic results (3 excellent, 15 good, 5 regular) with no reported complications.

Conclusions:

  • Surgical treatment is effective for persistent nasal hemangiomas, offering acceptable aesthetic results and a low complication rate.
  • Mixed infantile hemangiomas may require surgical intervention more frequently due to their persistence.
  • Further research is needed to fully understand the surgical management nuances and long-term outcomes of nasal hemangiomas.