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The steroid benefit in treating complicated hemangioma
by drkhsh2001

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The clinical study included (30) patients with complicated cutaneous hemangioma (ulceration, bleeding, obstruction of anatomical orifices, & interference with function or movement) who attended the Specialized Surgical Center in Medical city in Baghdad. Those patients studied regarding the age group, sex, site of lesion, size of lesion, & the percentage of regression after treatment with steroid.
The range of age was from 3 months to 6 years, 20 patients were female & 10 patients were male.
The steroid benefit in treating complicated hemangioma

Author: Dr. Kamal H. Saleh M.B.CH.B.(F.I.C.M.S.),HEAD OF PLASTIC SURGERY DPARTMENT IN AL EMADI HOSPITAL-QATAR-DOHA

http://www.kamalsaleh.sptechs.com


Key word: diluted steroid, complicated hemangiomas.


Abstract
The clinical study included (30) patients with complicated cutaneous hemangioma (ulceration, bleeding, obstruction of anatomical orifices, & interference with function or movement) who attended the Specialized Surgical Center in Medical city in Baghdad. Those patients studied regarding the age group, sex, site of lesion, size of lesion, & the percentage of regression after treatment with steroid.
The range of age was from 3 months to 6 years, 20 patients were female & 10 patients were male.
We use local injection of diluted Triamcinolne 4mg with 5ml NACL 0.9% (normal saline), injected by 23gage syringe under local or general anesthesia every 2 weeks for 6 – 8 sessions depending on the severity of case then applying local pressure dressing. We measure the size of the lesion before each session &record the regression of the lesion. The patients followed for 2 years. Hemangioma commonly present in infant & children, most commonly in female, especially in head & neck in small size between (1*1 –2*4). It will regress early if we start the treatment earlier.










Introduction

Haemangioma are immature rests of vasofomative tissue that demonstrate angioblastic proliferation & regression &represent the most common vascular tumor of the childhood. Infantile hemangiooma which is more common in the females, occur in 10% of the children, usually appear at birth or with in a few weeks after birth, about (30-90)% of cases undergoes characteristic proliferation phase that lasts between 6 – 12 months this proliferative period is followed by stable phase finally followed by period of regression or involution (2), usually between the (10-12) years (1). Infants with the cutaneous hemangioma may treated medically with high dose of steroid for controlling alarming hemangiomas, however only 2/3 of these hemangioma regress or stabilized (4), & well defined surgerybeing planned for esthetic correction at the age of 8-10 years (3) or improve sign and symptoms of infantile hemangiomas (9). The size of hemangioma and the age of initiation of the treatment are the most important factors affecting the response of treatment (6).. the site of lesion and the phase of the hemangioma are affecting too (11). The age of initiation with steroid usually at 7.5 months & the treatment may continue for as long as 5 months (5). Selection type of steroid & the root of administration & the dose schedules wil be guided by clinical experience(8), intralesional injection of steroid is an effective treatment for hemangioma of the head & neck (10), with injection pressure exceeding the systemic arterial pressure routinely occur during intralesional injections steroid into capillary hemangiomas (7).









Patients and methods
Thirty patients with complicated hemangioma (ulceration, bleeding, obstruction of anatomical orifice, & interfere with function or movement) of different age groups collected by simple random sampling in out patient clinic in Specialized Center Hospital / Medical City in Baghdad. These cases treated with local injection of diluted triamcinolone 4mg with 5ml normal saline in multiple sessions with 2 week

The clinical study included (30) patients with complicated cutaneous hemangioma (ulceration, bleeding, obstruction of anatomical orifices, & interference with function or movement) who attended the Specialized Surgical Center in Medical city in Baghdad. Those patients studied regarding the age group, sex, site of lesion, size of lesion, & the percentage of regression after treatment with steroid. The range of age was from 3 months to 6 years, 20 patients were female & 10 patients were male. … more...

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Created: 14 y   Sep 17 2008
 
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