Treatment of intradermal and superficial hemangiomas in children
Background. Hemangiomas are benign tumors. Among various neoplasms in children, they make up to 80 %; meanwhile, in newborns — 0.3–2.6 %, and at the age of 1 year — up to 10–12 %. Objective: to improve the results of intradermal and superficial treatment in children due to the improvement of minimally invasive surgical technologies. Materials and methods. 43 children aged 1 to 12 years were examined and underwent treatment (among them — 29 (67.4 %) girls). Dynamic monitoring was performed in 11 (25.6 %) patients. In 32 (74.4 %) children, minimally invasive treatment was performed. Results. The following localization of hemangiomas was established: the scalp — 4 (9.3 %), the nose — 5 (11.6 %), the cheek — 4 (9.3 %), the trunk — 8 (18.6 %), the loins — 5 (11.6 %), the upper limbs — 9 (21 %), the lower limbs — 8 (18.6 %). Involuntary changes in hemangiomas were detected in 2 (18.1 %) children aged over 10 months, in 11 months — in 3 (27.2 %), after 12–13 months — in 5 (45.4 %), and more actively occurred from 14–16 months. Minimally invasive treatment was conducted in 32 children. In 26 patients, intradermal unipolar diathermy (Rybalchenko V.F., 1994) was used without damaging the hemangiomas from the outside. It was found that 16 (61.5 %) patients had one vessel that caused angiodysplasia, 8 (30.7 %) — two vessels, and 2 (7.8 %) — four vessels. A repeated session of intradermal unipolar diathermy was carried out in 6 (23 %) patients in whom hemangiomas were found in 2–4 vessels. In 6 patients, thermoelectrocoagulation was used. Long-term results were considered as excellent, there were no relapses. Conclusions. Involution of hemangiomas was established in 25.6 % of children in dynamic observation and monthly monitoring of parameters of the latter. When treating intradermal and superficial hemangiomas in children, it is advisable to use minimally invasive surgical techniques: intradermal unipolar diathermy and thermoelectrocoagulation, which was effective in 74.4 % of sick children.
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Benzar I, Levyc'kyj A, Blihar V. Sudynni anomalii' u ditej: monografija [Vascular abnormalities in children: monograph]. Ternopil: Ukrmedknyga; 2017. 359 р. (in Ukrainian).
Bojchuk TM, Bodnar BM. Remote diagnostics of vascular tumors of the skin in children. Paediatric Surgery. 2017;4(57):109-110. (in Ukrainian).
Bockeria LA, Morozov KM, Serov RA, Ronami VG. Hemangioma and vascular malformations: classifications, presentation, diagnosis, treatment and mistakes, according to follow-up data. Annaly Khirurgii. 2008;6:76-89. (in Russian).
Spakhi OV, Pakholchuk OP, Kokorkin OD, Mariev GS. Treatment peculiarities of complicated due to its localization infantile hemangiomas. Paediatric Surgery. 2017;1(54):49-51. doi 10.15574/PS.2017.54.49. (in Ukrainian).
Tetrueva NA, Povorozniuk VS, Topolova KV, Timoshenko AV, Luchynskii DV. Hemangiomas of maxillofacial region in children: clinical management. Propranolol as first-line treatment of complicated hemangiomas locations. Paediatric Surgery. 2013;4:24-31. (in Russian).
Fomin OO, Konoplic'kyj DV, Kalinchuk OO. Justification of the expectation of involution in the treatment of hemangiomas in children. Paediatric Surgery. 2017;3(56):114-119. doi: 10.15574/РS.2017.114. (in Ukrainian).
Dickison P, Christou Е, Wargon О. A prospective study of infantile hemangiomas with a focus on incidence and risk factors. Pediatr Dermatol. 2011 Nov-Dec;28(6):663-9. doi: 10.1111/j.1525-1470.2011.01568.x.
Anderson KR, Schoch JJ, Lohse CM, Hand JL, Davis DM, Tollefson MM. Increasing incidence of infantile hemangiomas (IH) over the past 35 years: Correlation with decreasing gestational age at birth and birth weight. J Am Acad Dermatol. 2016 Jan;74(1):120-6. doi: 10.1016/j.jaad.2015.08.024.
Kim EJ, Park HS, Yoon HS, Cho S. Maternal and Perinatal Factors of Importance for Occurrence and Severity of Infantile Haemangioma. Acta Derm Venereol. 2015 Jul;95(6):696-9. doi: 10.2340/00015555-2042.
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