Combination treatment for massive cavernous hemangioma of the face: YAG laser photocoagulation plus direct steroid injection followed by YAG laser resection with sapphire scalpel tips, aided by superselective embolization.
A massive cavernous hemangioma of the face in an 11 month old child has been successfully resected utilizing a combination of laser and non-laser techniques. The hemangioma was initially treated twice with YAG laser photocoagulation plus direct injection of steroids. This treatment promptly stopped the rapid growth and induced blanching as well as a 25% shrinkage with each treatment. Arteriogram with superselective embolization produced a further shrinkage of the hemangioma. Finally, the contact YAG laser with sapphire scalpel tips was utilized for complete and cosmetically satisfactory hemangioma resection. The treatment of a massive cavernous hemangioma by a combination of modalities is discussed.
Apfelberg
D B
DB
Department of Plastic Surgery, Palo Alto Medical Foundation, California 94301.
Maser
M R
MR
White
D N
DN
Lash
H
H
Lane
B
B
Marks
M P
MP
D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005153:Facial Neoplasms / Q000601:surgery / Q000628:therapy*; D005260:Female; D006392:Hemangioma, Cavernous / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D053685:Laser Therapy; D008028:Light Coagulation