Surgical Management of Scalp Infantile Hemangiomas

    June 2015 in “ Journal of Craniofacial Surgery ”
    Young Kyoo Cho, Dong Wan Ryu, Ho Yun Chung, Teresa M. O, Francine Blei, Milton Waner
    TLDR Early surgical removal of scalp hemangiomas leads to good scarring and hair growth.
    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.
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