Abstract
The treatment of Cyrano nose haemangioma (CNH) is difficult because of its location and possible complications: psychological impact, severe skin infiltration and consequences on nasal growth. We suggest that the best treatment for nasal tip haemangiomas is an early surgery to remove the affected tissues and preserve the anatomy. A total of 39 children (32 females and seven males) underwent early surgery for the treatment of CNH. Mean age was 35 months. Skin infiltration was present in 15 cases. Cartilage lack or distortion was observed in 29 cases. Each patient was evaluated for global cosmetic appearance, reduction in volume of the tumour, improvement of skin texture and quality of the scar. Multiple surgical procedures were performed in 14 cases. The average postoperative follow-up was 48 months. Patients with low-volume tumours had only one surgery, whereas patients with large tumours underwent a mean of 1.9 surgeries. In 29 cases, distortion or lack of cartilaginous structures required dissection and approximation of the alar cartilages in their anatomical position. We could identify three types of CNH that lead to three distinct surgical approaches: type A (mild cases) is characterised by no cutaneous involvement, no misalignment of the cartilages and mild nasal volume increase; type B (moderate cases) entails partial cutaneous infiltration, misalignment of the cartilages and moderate nasal volume increase; and type C (severe cases) is characterised by cutaneous infiltration, misalignment of the cartilages and severe nasal volume increase.
| Original language | English |
|---|---|
| Pages (from-to) | 934-939 |
| Number of pages | 6 |
| Journal | Journal of Plastic, Reconstructive and Aesthetic Surgery |
| Volume | 63 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2010 |
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Keywords
- Haemangiomas
- Nose
- Rhinoplasty
- Surgery
- Vascular anomalies
- Vascular tumour
ASJC Scopus subject areas
- Surgery
Cite this
Nasal tip haemangiomas : Guidelines for an early surgical approach. / Hamou, Cynthia; Diner, Patrick A.; Dalmonte, Pietro; Vercellino, Nadia; Soupre, Véronique; Enjolras, Odile; Vazquez, Marie Paule; Picard, Arnaud.
In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 63, No. 6, 06.2010, p. 934-939.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Nasal tip haemangiomas
T2 - Guidelines for an early surgical approach
AU - Hamou, Cynthia
AU - Diner, Patrick A.
AU - Dalmonte, Pietro
AU - Vercellino, Nadia
AU - Soupre, Véronique
AU - Enjolras, Odile
AU - Vazquez, Marie Paule
AU - Picard, Arnaud
PY - 2010/6
Y1 - 2010/6
N2 - The treatment of Cyrano nose haemangioma (CNH) is difficult because of its location and possible complications: psychological impact, severe skin infiltration and consequences on nasal growth. We suggest that the best treatment for nasal tip haemangiomas is an early surgery to remove the affected tissues and preserve the anatomy. A total of 39 children (32 females and seven males) underwent early surgery for the treatment of CNH. Mean age was 35 months. Skin infiltration was present in 15 cases. Cartilage lack or distortion was observed in 29 cases. Each patient was evaluated for global cosmetic appearance, reduction in volume of the tumour, improvement of skin texture and quality of the scar. Multiple surgical procedures were performed in 14 cases. The average postoperative follow-up was 48 months. Patients with low-volume tumours had only one surgery, whereas patients with large tumours underwent a mean of 1.9 surgeries. In 29 cases, distortion or lack of cartilaginous structures required dissection and approximation of the alar cartilages in their anatomical position. We could identify three types of CNH that lead to three distinct surgical approaches: type A (mild cases) is characterised by no cutaneous involvement, no misalignment of the cartilages and mild nasal volume increase; type B (moderate cases) entails partial cutaneous infiltration, misalignment of the cartilages and moderate nasal volume increase; and type C (severe cases) is characterised by cutaneous infiltration, misalignment of the cartilages and severe nasal volume increase.
AB - The treatment of Cyrano nose haemangioma (CNH) is difficult because of its location and possible complications: psychological impact, severe skin infiltration and consequences on nasal growth. We suggest that the best treatment for nasal tip haemangiomas is an early surgery to remove the affected tissues and preserve the anatomy. A total of 39 children (32 females and seven males) underwent early surgery for the treatment of CNH. Mean age was 35 months. Skin infiltration was present in 15 cases. Cartilage lack or distortion was observed in 29 cases. Each patient was evaluated for global cosmetic appearance, reduction in volume of the tumour, improvement of skin texture and quality of the scar. Multiple surgical procedures were performed in 14 cases. The average postoperative follow-up was 48 months. Patients with low-volume tumours had only one surgery, whereas patients with large tumours underwent a mean of 1.9 surgeries. In 29 cases, distortion or lack of cartilaginous structures required dissection and approximation of the alar cartilages in their anatomical position. We could identify three types of CNH that lead to three distinct surgical approaches: type A (mild cases) is characterised by no cutaneous involvement, no misalignment of the cartilages and mild nasal volume increase; type B (moderate cases) entails partial cutaneous infiltration, misalignment of the cartilages and moderate nasal volume increase; and type C (severe cases) is characterised by cutaneous infiltration, misalignment of the cartilages and severe nasal volume increase.
KW - Haemangiomas
KW - Nose
KW - Rhinoplasty
KW - Surgery
KW - Vascular anomalies
KW - Vascular tumour
UR - http://www.scopus.com/inward/record.url?scp=77951666210&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77951666210&partnerID=8YFLogxK
U2 - 10.1016/j.bjps.2009.05.020
DO - 10.1016/j.bjps.2009.05.020
M3 - Article
C2 - 19540825
AN - SCOPUS:77951666210
VL - 63
SP - 934
EP - 939
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
SN - 1748-6815
IS - 6
ER -