Vascular Birthmark Institute of New York, New York 10065, USA.
JAMA Facial Plast Surg. 2013 Jul-Aug;15(4):292-304. doi: 10.1001/jamafacial.2013.883.
Infantile hemangiomas (IHs) are the most common tumors of infancy.
To describe the patterns of occurrence of lip IHs and correlate these findings with patterns of anatomical distortion and predictable clinical outcomes and to describe the surgical management of these lesions.
A retrospective medical record review of patients diagnosed as having facial IH of the upper or lower lips during an 8-year period (January 1, 2004, through December 31, 2011). Using clinical photographs and patient records, we mapped the 360 IHs of 342 patients on a lip schematic. Each lesion was encoded with a number reflective of its location, and this number was shared by other lesions found at the same site. Frequencies of lesion characteristics, complicating functional and aesthetic factors, and airway obstruction were documented. The treatment course was noted.
Tertiary care hospital and practice specializing in the care of congenital pediatric vascular anomalies of the head and neck.
Three hundred forty-two patients with 360 IHs.
A total of 1916 IHs were diagnosed. Of these, lip IHs were found in 342 patients. We reviewed those patients' medical records. Of the lesions, 59.2% were focal and 40.8% were segmental. A nonrandom distribution of lip IHs was found. The most common focal lesion occurred at the lower lip (98 of 213 lesions [46.0%]). The most common segmental lesion involved the mandibular segment (75 of 147 [51.0%]). Of the 75 patients, 30 (40.0%) had airway involvement. The most common anatomical distortions of the lip involved the vermiliocutaneous junction in 216 (61.5%). Horizontal and vertical lengthening of the lip was evident in 28.7% and 31.0% of patients, respectively. Ulceration and scarring were common findings in 137 patients overall (38.1%), with segmental mandibular IHs associated with the highest percentage (46 of 137 [33.6%]), followed by focal IHs of the lower lip (35 of 137 [25.5%]). Using previously described surgical procedures, we developed a problem-oriented solution for each of these zones.
The nonrandom distribution of facial hemangiomas has been documented with focal and segmental patterns of growth. Distinct anatomical patterns of occurrence for lip IHs are described. The distribution seems to be related to the embryologic development of the upper and lower lips. These anatomical patterns allow for the prediction of anatomical location, structural distortion, and possible clinical outcomes. This information is relevant when planning medical and surgical treatment for these children.
NA.
婴儿血管瘤（IHs）是婴儿最常见的肿瘤。
描述唇部 IH 的发生模式，并将这些发现与解剖畸形模式和可预测的临床结果相关联，以及描述这些病变的手术处理方法。
对 2004 年 1 月 1 日至 2011 年 12 月 31 日期间在 8 年内诊断为上唇或下唇面部 IH 的 342 例患者的病历进行回顾性医学记录回顾。使用临床照片和患者记录，我们将 342 名患者的 360 个 IH 在唇部示意图上进行了映射。每个病变都用反映其位置的数字进行编码，并且在同一部位发现的其他病变也共享此数字。记录了病变特征、影响功能和美观的并发症以及气道阻塞的频率。记录了治疗过程。
专门从事头颈部先天性儿科血管异常护理的三级保健医院和实践。
360 个 IH 的 342 名患者。
共诊断出 1916 个 IH。其中，唇部 IH 在 342 名患者中发现。我们查阅了这些患者的病历。在这些病变中，59.2%为局灶性，40.8%为节段性。唇部 IH 的分布呈非随机分布。最常见的局灶性病变发生在下唇（213 个病变中有 98 个[46.0%]）。最常见的节段性病变涉及下颌段（147 个病变中有 75 个[51.0%]）。在 75 名患者中，有 30 名（40.0%）有气道受累。唇部最常见的解剖畸形涉及唇红缘-皮肤交界处，共 216 个（61.5%）。28.7%和 31.0%的患者可见唇的水平和垂直延长。137 名患者中有 137 名（38.1%）出现溃疡和瘢痕，其中下颌段节段性 IH 发生率最高（46/137[33.6%]），其次是下唇局灶性 IH（35/137[25.5%]）。我们使用以前描述的手术程序，为每个区域制定了一个以问题为导向的解决方案。
已经记录了面部血管瘤的非随机分布，具有局灶性和节段性生长模式。描述了唇部 IH 发生的独特解剖模式。这种分布似乎与上唇和下唇的胚胎发育有关。这些解剖模式可以预测解剖位置、结构畸形和可能的临床结果。这些信息在为这些儿童制定医疗和手术治疗计划时是相关的。
无。
