Combined surgical method of orbital and periorbital hemangioma treatment in infants

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Svetlana A TroninaValentina P Khrinenko

Abstract

To analyze the results of application of combined surgical treatment in different forms of hemangioma in infants. One hundred seventy-four children with different forms of orbital and periorbital hemangiomas aged 1-16 months (mean age 5.2 + 1.97 months) were operated on at the pediatric ophthalmology department. Fast growth of hemangioma, both superficial (intradermal) and deep (subdermal and orbital) localization, significant deformity of eyelids, with narrowing of eye fissure were the indications for surgical treatment. The combined-staged method, including cryosurgery of superficial intradermal lesions and surgical excision of subdermal and/or orbital parts of the tumor in different combinations depending on the form and depth of hemangioma spreading, was applied. Usage of cryodestruction usually on the first stage of treatment allowed gentle scarring of the angiomatously changed skin areas. Surgical excision of the deep part of the tumor eliminated disfigurement and visual axis occlusion, avoiding amblyopia development. Good cosmetic and anatomic result was achieved in 90.4% of cases. Combined surgical method of treatment of progressive capillary hemangiomas by using cryosurgery and surgical excision in infants allows the c...Continue Reading

References

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Citations

Oct 23, 2010·Journal of Pediatric Ophthalmology and Strabismus·Nina NiSuqin Guo
Oct 15, 2013·Seminars in Ophthalmology·Hatem Krema
Jun 7, 2012·International Ophthalmology Clinics·Prem S Subramanian
May 11, 2011·Aesthetic Plastic Surgery·Alexandre Katalinic DutraJosé Hermílio Curado
Jul 18, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Alon ZahaviNitza Goldenberg-Cohen

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