| Early surgical intervention for proliferating hemangiomas of the scalp: indications and outcomes. | |
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MedLine Citation:
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PMID: 18626361 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Large hemangiomas of the scalp, though uncommon, present unique challenges to the reconstructive surgeon. If not treated early, these lesions can result in large areas of alopecia, distortion of the hairline, or deformation of the ear. Given these potential complications and the relative pliability and redundancy of the infant scalp before 4 months of age, the authors propose early surgical excision. METHODS: A retrospective review of the senior author's (B.M.Z.) patient records was performed; over a period of 4 years, six infants were identified who underwent resection of a large scalp hemangioma. The surgical planning and execution of each case and follow-up are detailed. RESULTS: All six hemangiomas were excised completely. In five cases, the excisions were performed in one stage at or before 4 months of age. In a sixth case, a tissue expander was placed before excision and closure in an 18-month-old infant. In three cases, significant ear malposition was corrected by removal of the deforming mass. There were no complications. CONCLUSIONS: The authors have demonstrated that by taking advantage of the greater elasticity of the infant scalp, large hemangiomas of the scalp can be aggressively and successfully treated with surgical intervention, often in one operation. Beyond the usual indications, early surgical excision of scalp hemangiomas may be advantageous and warranted to prevent the development of large alopecic areas or the permanent distortion of the hairline and aural anatomy. |
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Authors:
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Jason A Spector; Francine Blei; Barry M Zide |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 122 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2010-08-16 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 457-62 Citation Subset: AIM; IM |
Affiliation:
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Division of Plastic Surgery, Weill Cornell Medical College, New York, NY, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Elasticity Female Follow-Up Studies Head and Neck Neoplasms / congenital, surgery* Hemangioma / congenital, surgery* Humans Infant Male Microsurgery Postoperative Complications / etiology Retrospective Studies Scalp / blood supply, surgery* Skin Neoplasms / congenital, surgery* Surgical Flaps / blood supply Tissue Expansion |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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