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大型先天性血管瘤对视轴的阻塞管理:病例报告及文献复习。

Management of a Large Congenital Hemangioma Obstructing Visual Axis: A Case Report and Review of Literature.

机构信息

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Ophthalmic Plast Reconstr Surg. 2019 Nov/Dec;35(6):e154-e157. doi: 10.1097/IOP.0000000000001490.

Abstract

Congenital hemangiomas comprise a subset of vascular tumors with clinicopathologic features that are distinct from the more common infantile hemangioma. The authors present a patient with a large congenital hemangioma involving the forehead and brow which obstructed the visual axis and created significant risk for deprivational amblyopia. Management of the congenital hemangioma involved customized headgear to clear the visual axis and early vascular embolization of feeder vessels with the subsequent successful surgical resection at 23 days of life.A large amblyogenic congenital hemangioma required a multidisciplinary approach involving early vascular embolization of feeder vessels and subsequent surgical resection at 23 days of life.

摘要

先天性血管瘤是一组具有独特临床病理特征的血管肿瘤,与更常见的婴儿血管瘤不同。作者介绍了一位患者,其额部和眉部有一个大的先天性血管瘤,该血管瘤阻碍了视觉轴,造成了剥夺性弱视的显著风险。先天性血管瘤的治疗包括定制头套以清除视觉轴,并早期对供养血管进行血管栓塞,随后在 23 天时成功进行手术切除。一个大的致弱视性先天性血管瘤需要多学科方法,包括早期对供养血管进行血管栓塞,随后在 23 天时进行手术切除。

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