Elmelegy Nader Gomaa, Sadaka Mohamed Saad
Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
J Maxillofac Oral Surg. 2024 Oct;23(5):1282-1288. doi: 10.1007/s12663-024-02138-z. Epub 2024 Jun 1.
Cryotherapy was reported in the treatment of infantile hemangiomas by many studies using liquid nitrogen as a cryogen.
To evaluate the outcome of cryo-carboxy surgery in treatment of infantile lip hemangiomas.
In this study, we present the use of carbon dioxide as the cryogen in 50 patients with infantile hemangiomas of the lips with successful results. The patient evaluation was done including the improvement in color, texture, and volume of the lesion and each of the three parameters was given a score on a 4-point scale; excellent, good, fair, or poor.
The average evaluation score of our patients was excellent in 37 (74%) cases and good in 13 (26%) cases. We had no fair or poor results. There was no postprocedural hypopigmentation in any of the patients with lesions limited to the mucosa and Vermillion. In contrast, all cases with lesions extending to the lip skin (10 cases) experienced hypopigmentation which resolved spontaneously within 3 months. No complications were observed in our cases during the follow-up period and no cases, during the follow-up period, showed regrowth of the treated lesions.
We can conclude that, cryo-carboxy surgery is an effective safe new tool in the armamentarium of the treatment of infantile hemangiomas of the lips with successful results.
许多研究报道了使用液氮作为制冷剂的冷冻疗法治疗婴幼儿血管瘤。
评估冷冻二氧化碳手术治疗婴幼儿唇部血管瘤的效果。
在本研究中，我们介绍了使用二氧化碳作为制冷剂治疗50例婴幼儿唇部血管瘤患者并取得成功的结果。对患者进行评估，包括病变颜色、质地和体积的改善情况，这三个参数分别采用4分制评分：优、良、中、差。
我们的患者平均评估分数为优的有37例（74%），为良的有13例（26%）。没有中或差的结果。病变仅限于黏膜和唇红的患者均未出现术后色素减退。相比之下，所有病变延伸至唇部皮肤的病例（10例）均出现色素减退，但在3个月内自行消退。在随访期间，我们的病例未观察到并发症，且在随访期间，没有病例显示治疗后的病变复发。
我们可以得出结论，冷冻二氧化碳手术是治疗婴幼儿唇部血管瘤的有效、安全的新工具，效果良好。
