Surgical Management of Scalp Infantile Hemangiomas

The study focused on scalp infantile hemangiomas (IHs), which are disfiguring lesions that can lead to complications like ulceration and bleeding. A retrospective chart review of 151 patients with scalp IHs out of 1916 total IH patients (8%) was conducted. The lesions were primarily located in the parietal (46.7%) and frontal (31.8%) regions, with 58% being solitary and 42% multifocal. The primary reasons for surgical intervention were complications such as ulceration (23.2%) and alopecia (51.7%). Surgical methods included elliptical excision with primary closure (85.7%) or rotational flap closure (14.3%), typically performed at an average age of 3 years. The study concluded that early surgical excision is beneficial due to favorable tissue manipulation and scarring, resulting in good aesthetic outcomes and satisfactory hair growth.