Reddy G Siva Prasad, Reddy G Venkateshwara, Reddy K Sravan Kumar, Priyadarshini B Srilatha, Sree P Karuna
Professor, Department of Oral and Maxillofacial Surgery, Panineeya Institute of Dental sciences , Hyderabad, Telangana, India .
Professor and Head, Department of Oral and Maxillofacial Surgery, Panineeya Institute of Dental sciences , Hyderabad, Telangana, India .
J Clin Diagn Res. 2016 Jan;10(1):ZD13-4. doi: 10.7860/JCDR/2016/17568.7137. Epub 2016 Jan 1.
In infancy and childhood haemangiomas are the most common neoplasms in head and neck region with an occurrence of about 60%. Approximately 40%-50% of all haemangiomas resolve incompletely, leaving permanent changes in the skin, such as telangiectases, epidermal atrophy, hypopigmentation or redundant skin with fibro-fatty residue but a few stubborn, problematic haemangiomas may result in serious disfigurement and dysfunction, and even become life-threatening. Most haemangiomas are managed by conservative methods that include corticosteroids (either systemic or local injection), sclerotherapy, interferon-alpha, laser therapy, embolization, cryotherapy, and radiation. Due to risk of haemorrhaging, surgical removal for small vascular lesions is not considered and it is more invasive than sclerotherapy. This case report presents the efficacy of intralesional sclerotherapy for the management of haemangiomas on dorsum and lateral border of tongue.
在婴幼儿期,血管瘤是头颈部最常见的肿瘤,发生率约为60%。所有血管瘤中约40%-50%不能完全消退,会在皮肤上留下永久性改变,如毛细血管扩张、表皮萎缩、色素减退或伴有纤维脂肪残留的皮肤冗余,但少数顽固、有问题的血管瘤可能导致严重的毁容和功能障碍,甚至危及生命。大多数血管瘤采用保守方法治疗,包括皮质类固醇(全身或局部注射)、硬化疗法、α-干扰素、激光治疗、栓塞、冷冻疗法和放射治疗。由于存在出血风险,不考虑对小血管病变进行手术切除,而且手术比硬化疗法的侵入性更强。本病例报告展示了瘤内硬化疗法治疗舌背和舌侧缘血管瘤的疗效。