Treatment of infantile hemangioma

Babies will encounter many problems as they grow up, but when difficulties arise, parents must remain calm and come up with the best ways to solve them. Hemangiomas are common among newborn babies, but the incidence rate is generally not very high and they are basically benign, so the treatment for infant hemangiomas is conservative treatment. Although there is still the best way to treat infant hemangiomas, we have reason to believe that the advanced science and medical technology in the future will come up with corresponding countermeasures.

The main damage of infantile hemangioma often does not come from the lesion itself, but from overtreatment. In the past, cases that were treated with surgery, cryosurgery, laser, radiation, sclerosing agents, etc., have been confirmed to have unsatisfactory sequelae and cosmetic results through long-term follow-up. Complications with active treatment can reach 50%, and there is a 30% recurrence rate. Therefore, it should be emphasized that the goal of treatment is not only to eliminate lesions, but also to maintain healthy normal tissue and appearance. For cases of hemangioma, the tumor volume should be carefully measured, photographs should be taken, detailed records should be made, and regular follow-up observations should be conducted. At the same time, we should patiently explain to parents the pros and cons of active treatment, eliminate their concerns and urgent desire for treatment, and provide guidance frequently.

Only accept medication, pressure bandages, laser, surgery and other treatments in the following situations:

① Rapid growth of hemangioma;

② Large-area hemangioma with bleeding, infection or ulcer;

③Affecting the patient's vital functions, such as affecting eating, breathing, swallowing, hearing, vision, excretion or motor functions;

④With thrombocytopenia syndrome (Kasabach-Merritt syndrome);

⑤ Combined with high-output congestive heart failure;

⑥ The lesions invade important facial structures, such as eyelids, nose, lips, and auricles. But no treatment is as satisfactory as spontaneous resolution.

For proliferative hemangiomas in non-critical locations, if they are small in size or in a stable growth phase and do not cause significant impact on appearance and function, regular follow-up observation can be performed; hemangiomas in the involution phase can also be regularly followed up and observed. During the observation period, objective methods such as digital photography or precise measurement should be used to monitor the growth of hemangiomas.

Infant hemangiomas mostly grow on the face, so they will cause certain physical and psychological distress to the baby. At this time, parents should shoulder important responsibilities and guide and enlighten their children. Treating infant hemangiomas is a long and difficult process. Therefore, in order to prevent benign hemangioma lesions, it is necessary to actively cooperate with the doctor's treatment, make the best preparations and the worst plans, but you must have confidence.