OpenAccessBelV2, PascalFrancis, Corpus, bibRecord, 000185

Surgical treatment of hemangiomas of the nose. Discussion

Identifieur interne : 000185 ( PascalFrancis/Corpus ); précédent : 000184; suivant : 000186

Surgical treatment of hemangiomas of the nose. Discussion

Auteurs : I. Pitanguy ; B. H. B. Machado ; H. N. Radwanski ; N. F. G. Amorim ; D. W. Low

Source :

Annals of plastic surgery [ 0148-7043 ] ; 1996.

RBID : Pascal:96-0305222

Descripteurs français

Pascal (Inist)
- Angiome, Peau, Nez, Face, Traitement, Chirurgie, Enfant, Brésil.

English descriptors

KwdEn :
- Angioma, Brazil, Child, Face, Nose, Skin, Surgery, Treatment.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO :	PASCAL 96-0305222 INIST
ET :	Surgical treatment of hemangiomas of the nose. Discussion
AU :	PITANGUY (I.); MACHADO (B. H. B.); RADWANSKI (H. N.); AMORIM (N. F. G.); LOW (D. W.)
AF :	Ivo Pitanguy Clinic and the 38th Infirmary of the Santa Casa General Hospital/Rio de Janeiro/Belgique (1 aut., 2 aut., 3 aut., 4 aut.)
DT :	Publication en série; Article; Commentaire; Niveau analytique
SO :	Annals of plastic surgery; ISSN 0148-7043; Coden APCSD4; Etats-Unis; Da. 1996; Vol. 36; No. 6; Pp. 586-593; Bibl. 34 ref.
LA :	Anglais
EA :	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.
CC :	002B08B; 235
FD :	Angiome; Peau; Nez; Face; Traitement; Chirurgie; Enfant; Brésil
FG :	Homme; Amérique du Sud; Amérique; Appareil circulatoire pathologie; Vaisseau sanguin pathologie; Peau pathologie; Stomatologie
ED :	Angioma; Skin; Nose; Face; Treatment; Surgery; Child; Brazil
EG :	Human; South America; America; Cardiovascular disease; Vascular disease; Skin disease; Stomatology
GD :	Aufbereiten; Brasilien
SD :	Angioma; Piel; Nariz; Cara; Tratamiento; Cirugía; Niño; Brasil
LO :	INIST-18346.354000043858610050
ID :	96-0305222

Links to Exploration step

Pascal:96-0305222

Le document en format XML

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<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>
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</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Nariz</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Face</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Face</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Cara</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Traitement</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Treatment</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="GER"><s0>Aufbereiten</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Surgery</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Enfant</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Child</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Niño</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Brésil</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Brazil</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="GER"><s0>Brasilien</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Brasil</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Amérique du Sud</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>South America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="GER"><s0>Suedamerika</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>America del sur</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Vaisseau sanguin pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Vascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Vaso sanguíneo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Peau pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Skin disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Piel patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Stomatologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Stomatology</s0>
<s5>41</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Estomatología</s0>
<s5>41</s5>
</fC07>
<fN21><s1>211</s1>
</fN21>
</pA>
</standard>
<server><NO>PASCAL 96-0305222 INIST</NO>
<ET>Surgical treatment of hemangiomas of the nose. Discussion</ET>
<AU>PITANGUY (I.); MACHADO (B. H. B.); RADWANSKI (H. N.); AMORIM (N. F. G.); LOW (D. W.)</AU>
<AF>Ivo Pitanguy Clinic and the 38th Infirmary of the Santa Casa General Hospital/Rio de Janeiro/Belgique (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Article; Commentaire; Niveau analytique</DT>
<SO>Annals of plastic surgery; ISSN 0148-7043; Coden APCSD4; Etats-Unis; Da. 1996; Vol. 36; No. 6; Pp. 586-593; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B08B; 235</CC>
<FD>Angiome; Peau; Nez; Face; Traitement; Chirurgie; Enfant; Brésil</FD>
<FG>Homme; Amérique du Sud; Amérique; Appareil circulatoire pathologie; Vaisseau sanguin pathologie; Peau pathologie; Stomatologie</FG>
<ED>Angioma; Skin; Nose; Face; Treatment; Surgery; Child; Brazil</ED>
<EG>Human; South America; America; Cardiovascular disease; Vascular disease; Skin disease; Stomatology</EG>
<GD>Aufbereiten; Brasilien</GD>
<SD>Angioma; Piel; Nariz; Cara; Tratamiento; Cirugía; Niño; Brasil</SD>
<LO>INIST-18346.354000043858610050</LO>
<ID>96-0305222</ID>
</server>
</inist>
</record>

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Surgical treatment of hemangiomas of the nose. Discussion

Surgical treatment of hemangiomas of the nose. Discussion

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