Filaj Vladimir, Kola Ina, Gjonaj Ferdiola
University of Medicine, Department of Surgery, Tirana, Albania.
Department of Burns and Plastic Surgery, Tirana, Albania.
Mater Sociomed. 2023 Sep;35(3):244-247. doi: 10.5455/msm.2023.35.244-247.
Infantile hemangiomas (IHs) are benign vascular tumors commonly observed in children. The pathogenesis of hemangiomas is complex and poorly understood. IH occur most commonly on the head and neck. There are different classification of them according to the depth, number, distribution and locations. A multidisciplinary approach is needed for the diagnosis and treatment of hemangiomas because it is easy to misdiagnose or decide on a wrong treatment in the existing single-treatment system.
In this retrospective study between 2018 and 2022 we provided an overview of the hemangiomas located in the head and neck in 232 patients, and the different treatment approaches used.
Of the 232 patients 60.3 % were females and 38.7% males. The youngest age was 10 weeks old and the oldest age who underwent treatment was 79 years old. The most common lesion sites were the mid-cheek, the upper lip and the upper eyelid. 104 patients (53.4 %) underwent surgical intervention due to the location of the lesion, size and functional reasons. Meanwhile 128 patients (46.6 %) were observed and treated with propranolol and pulsed dye laser.
Hemangiomas are generally benign tumors. Hemangiomas present a number of diagnostic and therapeutic challenges; thus, early diagnosis by a specialist clinic is key in preventing associated morbidity with these vascular tumors.
婴儿血管瘤（IHs）是儿童常见的良性血管肿瘤。血管瘤的发病机制复杂，了解甚少。IH最常见于头颈部。根据其深度、数量、分布和位置有不同的分类。由于在现有的单一治疗体系中容易误诊或做出错误的治疗决定，血管瘤的诊断和治疗需要多学科方法。
在这项2018年至2022年的回顾性研究中，我们概述了232例头颈部血管瘤患者以及所采用的不同治疗方法。
232例患者中，女性占60.3%，男性占38.7%。最年轻的患者为10周龄，接受治疗的最年长患者为79岁。最常见的病变部位是脸颊中部、上唇和上眼睑。104例患者（53.4%）因病变位置、大小和功能原因接受了手术干预。同时，128例患者（46.6%）接受了观察，并使用普萘洛尔和脉冲染料激光进行治疗。
血管瘤一般为良性肿瘤。血管瘤存在许多诊断和治疗挑战；因此，由专科门诊进行早期诊断是预防这些血管肿瘤相关发病率的关键。
