How to treat vasodilation in children

Vascular dilation in young children is actually a hemangioma, a relatively common benign tumor that occurs on the skin. When vasodilation occurs on a child's face or head, it can be quite noticeable. If it occurs in the child's eyes, throat or limbs, it may cause danger and requires special attention and timely and effective measures to treat it. So, how to treat vasodilation in young children? Let’s take a closer look at the treatment methods below.

If infantile hemangiomas grow rapidly, or involve important organs, or are accompanied by thrombocytopenia or bleeding tendency, prednisone can be taken. The dosage and usage of the above drugs must be followed according to the doctor's advice.

Treatment of hemangiomas should take into account factors such as the type of hemangioma, its location, and the patient's age. Current treatments include surgical resection, radiotherapy, cryotherapy, laser therapy, sclerotherapy injection, etc., and comprehensive therapy is generally used. Temporary observation may be considered for hemangiomas in infants and young children. In a few cases, the hemangiomas may disappear on their own. If they grow rapidly, they should be surgically removed in a timely manner. The effectiveness of radiotherapy is still uncertain and it may cause cancer, so it is rarely used nowadays.

The endothelial cells of the blood vessel walls of infants or children are still in an embryonic state and are more sensitive to hormone treatment. For rapidly growing cavernous hemangiomas in infants and young children, you can try injecting prednisolone into the tumor cavity, or taking prednisone orally, which can sometimes stop the growth of the tumor or significantly shrink it. Hemangiomas in adults are not sensitive to hormones. Cavernous hemangioma can be treated with 3% sodium morrhuate or other vascular sclerosing agents injected into the tumor cavity, which will cause fibrosis and closure of the tumor cavity, resulting in the shrinkage or disappearance of the tumor. During the injection, it is advisable to temporarily compress the surrounding tissues to block blood flow. The injection should be given once every 1 to 2 weeks. The injection dose depends on the size of the tumor. Generally, no more than 5 ml of sodium morrhuate is used at one time. If the therapeutic effect is not good, surgical resection or cryogenic treatment can be used. Argon ion laser irradiation can be tried for facial capillary hemangiomas. Laser or cryotherapy has a certain effect on submucosal cavernous hemangiomas, but is not effective for port-wine stain hemangiomas.

Resectable hemangiomas can be removed surgically. The removal of lip and tongue hemangiomas should be done without affecting function. If the tumor is too large, it should be removed in stages to avoid affecting function and appearance. After resection, a sclerosant can be injected into the remaining tumor. The wound after tumor resection can be directly sutured or repaired with a local skin flap transfer. Large wounds require free skin grafting, and perforated defects require tissue transplantation. During surgery for racemose hemangioma, the artery that communicates with the tumor should be ligated and cut off first. Sometimes, due to extensive lesions, one or both external carotid arteries need to be ligated during surgery to reduce bleeding. In recent years, the application of transcatheter arterial embolization (TAE) technology has shown a much better hemostatic effect than external carotid artery ligation. Bleeding is very likely to occur during surgery for central hemangioma of the jaw. Sufficient blood should be prepared, and hypothermic and antihypertensive anesthesia should be used to control bleeding. The surgery should also ligate one or both external carotid arteries, or directly ligate the inferior alveolar artery or internal maxillary artery. Of course, the use of TAE technology is better. Conservative surgery should be used whenever possible for central hemangioma of the jaw. If bleeding is effectively controlled, only the intrabone lesions can be scraped off, retaining more bone tissue to maintain the facial appearance. Osteotomy can also be used in cases where bone destruction is excessive and bleeding is difficult to control.

Currently, although there are many methods for treating hemangiomas, the treatment problem of some large hemangiomas has not yet been completely solved.

Parents should be clear about how to treat vasodilation in young children. The chance of vasodilation occurring in young children is still quite high. The most direct impact is that it looks quite unsightly, which has a significant impact on the image. Whether treatment is needed depends on the location of the disease. In short, the current treatment technology is still relatively advanced. You can go to the hospital to learn more about your child's condition.