Critical evaluation of results obtained in the management of cutaneous cervicofacial hemangiomas. / Estudo crítico dos resultados obtidos no tratamento dos hemangiomas cutâneos cervicofaciais

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

Hemangioma is the most common vascular tumor and the most frequent benign neoplasm of infancy. The potential for spontaneous involution makes active treatment of non-life-threatening lesions controversial, in opposition to specific situation, as visual axis obstruction or airway compromise, which need immediate approach. The purposes of the present study were to perform an epidemiological assessment of patients and a critical evaluation of hemangioma management, based on an objective survey. From March 1996 to April 2001, 38 selected patients with cervicofacial non-life-threatening hemangiomas were evaluated. All patients had an adequate period of follow-up to guarantee a reliable assessment. Patients underwent expectant, clinical or surgical treatment. Three senior plastic surgeons not involved with patients? treatment answer evaluation forms, in order to verify the status of facial contour, volume of the lesions, functional impairment, skin quality, facial symmetry and global aspect of the face, giving scores and comparing pre and post follow-up photographs. An evolutive improvement index was created in order to verify the benefits of treatment modalities and which treatment option presented the best performance. Epidemiological evaluation showed results comparable to the literature. A critical and objective evaluation was possible using the evaluation method. All patients improved during the follow-up period. Patients submitted to surgical management had better scores in comparison to patients submitted to clinical approach and similar scores when compared to patients followed by observation, in the post-treatment period. The evolutive improvement index of surgical patients was statistically superior to other patients, except for functional impairment. In the management of non-life-threatening hemangiomas, surgical treatment can be considered an alternative option to observation, considering a systematic treatment protocol.

ASSUNTO(S)

neoplasias vasculares/cirurgia criança evaluation studies hemangioma/therapy vascular neoplasms/surgery hemangioma/cirurgia hemangioma/epidemiology hemangioma/surgery hemangioma/terapia neoplasias vasculares/terapia child estudos de avaliação hemangioma/epidemiologia vascular neoplasms/therapy

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