Surgical Management of Scalp Infantile Hemangiomas

This study reviewed 151 patients with scalp infantile hemangiomas (IH) out of 1916 total IH patients over 7 years. Scalp IHs were primarily located in the parietal (46.7%) and frontal (31.8%) regions, with sizes ranging from 1 × 1 cm to 8 × 6 cm. The main reasons for surgical intervention were complications like 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 of scalp IHs is beneficial due to favorable scarring and satisfactory hair growth outcomes.