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Infantile Hemangioma Localized in the Levator Aponeurosis-Müller's Muscle Complex
Lorenzo Ripetta1, Jonnah Kristina C Teope1, Hidetaka Miyazaki1
1Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, JPN.
Insights
A pediatric eyelid mass was diagnosed as an infantile hemangioma. Surgical excision successfully removed the mass, restoring symmetric eyelid position without recurrence.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Dermatology
Background:
- Infantile hemangiomas are common benign vascular tumors in infants.
- Eyelid involvement can cause visual impairment and cosmetic concerns.
Observation:
- A two-month-old infant presented with a left upper eyelid mass.
- Initial observation and beta-blocker eyedrops were ineffective.
- A subconjunctival mass suggestive of infantile hemangioma was noted.
Findings:
- Excisional biopsy confirmed infantile hemangioma involving the levator aponeurosis-Müller's muscle complex.
- Histopathology and immunohistochemistry verified the diagnosis.
- Surgical removal achieved symmetric eyelid position.
Implications:
- Early diagnosis and appropriate management are crucial for eyelid hemangiomas.
- Surgical excision is a viable option when conservative treatments fail.
- Complete resection ensures favorable cosmetic and functional outcomes.
Abstract:
A two-month-old male infant presented with a soft palpable mass on his left upper eyelid. Initial management consisted of watchful observation followed by administration of β-blocker eyedrops on the eight-month check-up when a purple subconjunctival mass was observed during eyelid eversion, suggestive of an infantile hemangioma. At the three-year follow-up, since it was observed that the treatment did not reduce the size of the mass, an excisional biopsy was performed at the request of the mother. During surgery, the mass was identified in the levator aponeurosis-Müller's muscle complex, between the tarsus and the junction of the levator aponeurosis and orbital septum. Pathological examination and immunohistochemical staining confirmed the diagnosis of infantile hemangioma. Symmetric eyelid position was achieved with no recurrence at the three-month follow-up.
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