Nasal and Lip Infantile Hemangiomas
Infantile hemangiomas (IH, hemangiomas) of the nose comprise 15% of head and neck hemangiomas. Nasal hemangiomas are important because of their prominent location on the face and their liklihood to leave a disfiguring residuum after involution. Early treatment with propranolol is advocated and for those that fail to respond, surgical resection through a rim incision or a modified subunit approach is indicated. Lip hemangiomas are also common (20%) of all hemangiomas. Due to their prominent location, early treatment with propranolol is advocated and has been shown to improve the liklihood of a good outcome. Lesions greater than 2.83cm were associated with a poor outcome even with early propranolol treatment and surgical correction will be necessary.
KeywordsHemangioma Infantile hemangioma Propranolol Ulceration PHACES Surgery nasal hemangiomas lip hemangiomas
To assist the reader in gaining familiarity with available evidence, the following rating system has been used to indicate key references for each chapter’s content:
***: Critical material. Anyone dealing with this condition should be familiar with this reference.
**: Useful material. Important information that is valuable in in clinical or scientific practice related to this condition.
*: Optional material. For readers with a strong interest in the chapter content or a desire to study it in greater depth.