Treatment of haemangiomas in children by intralesional injections of steroids - A long term follow-up

R. F. Mazzola

Research output: Contribution to journalArticle

Abstract

The author reports his experience with the treatment of rapidly enlarging mixed strawberry and cavernous haemangiomas in the head and neck area by the use of steroids. The drug, Methylprednisolone Acetate, is locally injected within the lesion at the dosage of 2 mg/kg bodyweight weekly for four weeks. Normally after one course of treatment a dramatic reduction of the lesion is evident. In case of failure or "rebound effect", a second course may be prescribed. Some sites respond particularly well to this therapy, while others less so or not at all. Among the 11 cases presented in this report, 7 obtained an immediate benefit after 1, maximum 2 courses. One, with a massive haemangioma of the parotid and labial region, obtained a dramatic reduction of the parotid lesion, but no response of the labial, thus requiring a surgical excision. The other three, after one unsuccessful course, underwent surgical excision. The parotid region seems to respond particularly well to this therapy.

Original languageEnglish
Pages (from-to)161-171
Number of pages11
JournalChirurgia Plastica
Volume4
Issue number3
DOIs
Publication statusPublished - 1978

Keywords

  • Haemangiomas
  • Steroid therapy
  • Vasoformative tumors

ASJC Scopus subject areas

  • Surgery

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