The authors report their experience with 15 cases of massive haemangiomas in the head and neck region. Twelve of them were of the juvenile type (mixed strawberry and cavernous) rapidly enlarging, and the patients infants. They were treated by the use of methylprednisolone acetate, 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: the parotid region obtains a discernable improvement from intralesional steroid treatment, while the lower lip is scarcely affected. Among the 12 cases of juvenile haemangiomas presented, in this report, 8 obtained an immediate benefit after one, or a maximum of two courses. The other 4, after one unsuccessful course, underwent surgical excision. The last 3 cases (2 adults and 1 child) were haemangiomas of cavernous type, with multiple arterio-venous shunts. All of them, after a superselective embolization, underwent surgical excision of the mass and immediate reconstructive procedure. In two patients the result after 3 and 4 years is good, while in the last one a continuous evolution of the haemangioma is present, despite this treatment.
|Translated title of the contribution||Treatment of haemangiomas of the head and neck|
|Title of host publication||Nuovo Archivio Italiano di Otologia Rinologia e Laringologia|
|Number of pages||12|
|Publication status||Published - 1979|
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