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Published on: August 8, 2025
[Treatment of parotid hemangioma in children]
1Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital(Children's Hospital Affiliated to Kunming Medical University), Yunnan Key Laboratory of Children's Major Disease Research, Kunming, 650228, China.
Insights
This study found that propranolol and ultrasound-guided bleomycin injections are effective treatments for pediatric parotid hemangioma. Surgery is an option for persistent cases, requiring careful technique to minimize risks.
Area of Science:
- Pediatric Otolaryngology
- Vascular Anomalies
- Surgical Oncology
Background:
- Parotid hemangiomas are common benign vascular tumors in children.
- Treatment options vary, including medication, injection, and surgery.
- Optimal management strategies require careful consideration of efficacy and safety.
Purpose of the Study:
- To summarize and evaluate treatment outcomes for children with parotid hemangioma.
- To compare the effectiveness of propranolol, bleomycin injection, and surgical resection.
- To identify optimal treatment approaches based on patient characteristics and tumor response.
Main Methods:
- Retrospective analysis of 33 children with parotid hemangioma.
- Treatment modalities included oral propranolol, ultrasound-guided bleomycin injection, and surgical excision.
- Outcomes were assessed using established grading criteria and clinical observation.
Main Results:
- Oral propranolol led to tumor reduction in all treated children, with significant changes within one week.
- Ultrasound-guided bleomycin injection showed effectiveness with low adverse reactions, though multiple courses were needed.
- Surgical resection achieved complete tumor removal in 73% of cases, with attention to minimizing complications.
Conclusions:
- Both propranolol and bleomycin injections are effective, safe options for pediatric parotid hemangioma.
- Surgery is a viable alternative for refractory cases, emphasizing careful patient selection and surgical skill.
- A multimodal approach tailored to individual patient needs is crucial for optimal outcomes.
Abstract:
Objective:To summarize the treatment and effect of children with parotid hemangioma. Method:Thirty-three children with parotid hemangioma were treated with drug in 22 cases, 9 of which received propranolol orally, accounting for 27%; 13 cases underwent B-ultrasound guided bleomycin injection, accounting for 40%; another 11 cases were used. The treatment of surgical removal of hemangioma, accounting for 33%. Result:In 22 children with drug therapy, the evaluation criteria were evaluated by Achauer et al. 12 cases of grade Ⅳ, accounting for 54.5%; 7 cases of grade Ⅲ, accounting for 31.8%; 2 cases of grade Ⅱ, accounting for 9%. For example, accounted for 4.5%; 2 of them（1 in gradeⅠand Ⅱ） were treated with drug therapy for 6 months after surgical resection of hemangioma. Eleven children underwent surgical resection of hemangioma, and 8 patients underwent complete resection of the tumor, accounting for 73%. Among them, 3 patients had residual hemangiomas during operation, and the residual tumor was treated with bleomycin. This group of medications showed that children aged<12 months, after oral propranolol, the tumors were reduced to varying degrees, the most significant change within 1 week after administration, and then the tumor was further reduced until the end of treatment. Conclusion:B-ultrasoun lower bleomycin injection in children with parotid hemangioma is effective, and the incidence of adverse reactions is low, but multiple courses of treatment are required. For patients with poor drug treatment, recurrence or limited range, surgical resection of blood vessels can be selected. Tumor surgery should pay attention to the choice of indications and surgical operation skills, reduce the risk of facial nerve injury and postoperative facial scars. There are many different treatments for infantile hemangioma, but there is still no treatment for all children. The drug treatment of this group showed that after oral propranolol, the tumors were all reduced to varying degrees, the color became lighter, the texture became softer, and the change was most significant within 1 week after administration, and then the tumor was further reduced until the end of treatment. B-ultrasound guided bleomycin injection in children with parotid hemangioma is effective. After 1-2 courses of treatment, the tumor shrinks significantly and the incidence of adverse reactions is low. Drug treatment of parotid hemangioma in children is simple. A safe and effective method. For children with poor drug treatment, recurrence or limited range, surgical treatment of hemangioma can be selected. Surgery should pay attention to the choice of indications and surgical operation skills, reduce the risk of facial nerve injury and postoperative facial scars.
