Curr Health Sci J, vol. 36, no. 4, 2010

Therapeutical Approach Of Facial Hemangiomas

[Original paper]

T. N. Sas(1), K. Boutsiadis (2)

(1) University of Medicine and Pharmacy, Craiova;
(2) Theageneio Hospital of Thesaloniki


Cutaneous hemangiomas and complex vascular malformations are the most frequent benign vascular tumors of childhood. The frequency of up to 10% of children under one year, affecting of young ages, and the disabling effects of physical and mental, infantile hemangioma (IH) is a real public health problem. Seldinger technique involves approach of percutaneous puncture of the artery followed by the introduction of guide wire through the needle but thinner than that, after extraction needle is drag coaxial catheter size larger than guide wire or needle. Selective carotid arteriography involves selective opacification of the common carotid artery and its branches. The way the approach is currently used by catheterization transfemural using Seldinger technique. This allows exploration of both carotid and vertebral artery, possibly via the same catheter. Most diagnosed hemangiomas showed a segmental distribution. According to studies by Haggstrom, identifies four facial segments: frontotemporal (SI), Jaw (S2), mandibular (S3), Frontonazal (S4). Most hemangiomas are diagnosed interested in two or more regions of facial anatomy (78 cases). Mandibular region was most affected (32 cases), followed by zygomatic region (29 cases) and frontal (24 cases). Hemangiomas in early stage growth can be rapid and unpredictable. Prompt therapeutic intervention can prevent the evolution phase of rapid progress, preventing the emergence of large Hemangiomas. In terms of locoregional extension, HI mass can be complicated by ulceration, necrosis or infection. The evolution of modern anesthesia techniques, laser therapy, surgical and medical methods allow effective intervention to treat those lesions considered in recent years as having unacceptable results, allow safe treatment of hemangiomas preventing unnecessary psychological sequelae of children due to the presence of facial hemangiomas.

hemangiomas; therapy; angiography; facial

T. N. Sas MD, PhD Stud. University of Medicine and Pharmacy Craiova, Str Petru Rares nr. 4, 200456, Craiova, Dolj, Romania

DOI 10.12865/CHSJ.36.04.08 - Download PDF