Surgical treatment of hemangiomas of the nose. Discussion
Identifieur interne : 001E14 ( Main/Exploration ); précédent : 001E13; suivant : 001E15Surgical treatment of hemangiomas of the nose. Discussion
Auteurs : I. Pitanguy [Belgique] ; B. H. B. Machado [Belgique] ; H. N. Radwanski [Belgique] ; N. F. G. Amorim [Belgique] ; D. W. LowSource :
- Annals of plastic surgery [ 0148-7043 ] ; 1996.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
Abstract
The approach to a rapidly growing vascular tumor is determined by a number of objective and subjective factors. As a rule, treatment of a hemangioma in an infant is usually delayed, in the expectation that involution will be complete. While most hemangiomas are harmless vascular marks, some may grow to become large, infiltrating masses. Local factors that influence treatment decision making include volume, ulceration, secondary infection, and bleeding of the tumor. Hemangiomas situated on the nose are distinguished from other locations by a few but important aspects and may demand a more aggressive position from the surgeon. An important consideration is the potential for aplasia of the delicate nasal cartilages that are undergoing development, due to the mass effect of the tumor. Nasal tip hemangiomas are slow to regress, and contour deformities result from the fibrofatty tissue that invariably remains even after total involution. More importantly, hemangiomas of the nasal region are particularly prone to causing great social distress to the parents, who will request prompt treatment for such a visible, deforming lesion. A definite solution that ensures removal of affected tissue and preservation of anatomy seems to be the best treatment for these tumors. In this article, the experience of the senior author (IP) in treating hemangiomas located on the nose is reviewed. The elliptical midline incision over the nasal dorsum described in the text was developed to address three important aspects : an expedient procedure to treat a highly disfiguring disease ; an open access to allow for complete resection and, at the same time, allow for the correction of underlying cartilaginous disruption ; and placement of a scar in an anatomic location proven to be very satisfactory aesthetically, permitting access for secondary procedures for better definition of nasal contour. Careful patient selection for this surgical procedure is emphasized.
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Pitanguy</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ivo Pitanguy Clinic and the 38th Infirmary of the Santa Casa General Hospital</s1><s2>Rio de Janeiro</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Machado, B H B" sort="Machado, B H B" uniqKey="Machado B" first="B. H. B." last="Machado">B. H. B. Machado</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ivo Pitanguy Clinic and the 38th Infirmary of the Santa Casa General Hospital</s1><s2>Rio de Janeiro</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Radwanski, H N" sort="Radwanski, H N" uniqKey="Radwanski H" first="H. N." last="Radwanski">H. N. Radwanski</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ivo Pitanguy Clinic and the 38th Infirmary of the Santa Casa General Hospital</s1><s2>Rio de Janeiro</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Amorim, N F G" sort="Amorim, N F G" uniqKey="Amorim N" first="N. F. G." last="Amorim">N. F. G. 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Low</name></author></analytic><series><title level="j" type="main">Annals of plastic surgery</title><title level="j" type="abbreviated">Ann. plast. surg.</title><idno type="ISSN">0148-7043</idno><imprint><date when="1996">1996</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Annals of plastic surgery</title><title level="j" type="abbreviated">Ann. plast. surg.</title><idno type="ISSN">0148-7043</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Angioma</term><term>Brazil</term><term>Child</term><term>Face</term><term>Nose</term><term>Skin</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Angiome</term><term>Peau</term><term>Nez</term><term>Face</term><term>Traitement</term><term>Chirurgie</term><term>Enfant</term><term>Brésil</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Enfant</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The approach to a rapidly growing vascular tumor is determined by a number of objective and subjective factors. As a rule, treatment of a hemangioma in an infant is usually delayed, in the expectation that involution will be complete. While most hemangiomas are harmless vascular marks, some may grow to become large, infiltrating masses. Local factors that influence treatment decision making include volume, ulceration, secondary infection, and bleeding of the tumor. Hemangiomas situated on the nose are distinguished from other locations by a few but important aspects and may demand a more aggressive position from the surgeon. An important consideration is the potential for aplasia of the delicate nasal cartilages that are undergoing development, due to the mass effect of the tumor. Nasal tip hemangiomas are slow to regress, and contour deformities result from the fibrofatty tissue that invariably remains even after total involution. More importantly, hemangiomas of the nasal region are particularly prone to causing great social distress to the parents, who will request prompt treatment for such a visible, deforming lesion. A definite solution that ensures removal of affected tissue and preservation of anatomy seems to be the best treatment for these tumors. In this article, the experience of the senior author (IP) in treating hemangiomas located on the nose is reviewed. The elliptical midline incision over the nasal dorsum described in the text was developed to address three important aspects : an expedient procedure to treat a highly disfiguring disease ; an open access to allow for complete resection and, at the same time, allow for the correction of underlying cartilaginous disruption ; and placement of a scar in an anatomic location proven to be very satisfactory aesthetically, permitting access for secondary procedures for better definition of nasal contour. Careful patient selection for this surgical procedure is emphasized.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>État de Rio de Janeiro</li></region><settlement><li>Rio de Janeiro</li></settlement></list><tree><noCountry><name sortKey="Low, D W" sort="Low, D W" uniqKey="Low D" first="D. W." last="Low">D. W. Low</name></noCountry><country name="Belgique"><region name="État de Rio de Janeiro"><name sortKey="Pitanguy, I" sort="Pitanguy, I" uniqKey="Pitanguy I" first="I." last="Pitanguy">I. Pitanguy</name></region><name sortKey="Amorim, N F G" sort="Amorim, N F G" uniqKey="Amorim N" first="N. F. G." last="Amorim">N. F. G. Amorim</name><name sortKey="Machado, B H B" sort="Machado, B H B" uniqKey="Machado B" first="B. H. B." last="Machado">B. H. B. Machado</name><name sortKey="Radwanski, H N" sort="Radwanski, H N" uniqKey="Radwanski H" first="H. N." last="Radwanski">H. N. Radwanski</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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