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Facial bone changes with vascular tumors in children
Plastic and Reconstructive Surgery
|March 1, 1979
Summary
Large vascular tumors can cause facial bone deformities. While many hemangiomas resolve, those affecting bone have a low spontaneous resolution rate, often requiring corticosteroid therapy or surgery.
Area of Science:
- Vascular Surgery
- Pediatric Oncology
- Ophthalmology
Background:
- Large vascular tumors, such as hemangiomas, frequently present with secondary deformities in adjacent facial bones.
- While spontaneous resolution is common for many hemangiomas, this is less frequent when skeletal structures are involved.
Observation:
- Facial bone deformities are a common complication associated with significant vascular tumors.
- The spontaneous resolution rate of hemangiomas impacting adjacent bones is notably low.
Findings:
- High-dose corticosteroid therapy was employed in early-stage cases, especially those affecting the orbit, yielding positive outcomes.
- Surgical excision was the primary intervention for other cases, resulting in considerable improvement in deformities.
Implications:
- Early intervention with corticosteroids or surgical management is crucial for addressing bone deformities caused by vascular tumors.
- These treatment modalities offer effective solutions for improving functional and aesthetic outcomes in affected individuals.