[Plastic surgical treatment of extensive hemangiomas in the oral and maxillofacial regions in children].
OBJECTIVE
To evaluate plastic surgical procedures for the extensive soft tissue hemangiomas in the oral and maxillofacial regions in children and to explore prevention methods from surgical complications.


METHODS
134 patients with hemangiomas were surgically treated. The defects of soft tissue were repaired with pedicle flaps or skin grafts. Of the 134 patients, 16 were newborns, 91 infant, 16 at preschool age and 11 at school age. The location of hemangiomas included parotid gland (39.6%), lip (20.9%), buccal (20.1%), suborbital (9%), orbital (7.5%) and nasal region (3%).


RESULTS
Follow-up from 6 months to 5 years showed that the cure rate was 80.6%, apparently effective rate was 15.7%, effective rate was 2.2% and ineffective rate was 1.5%. No major surgical complications were found.


CONCLUSIONS
Extensive hemangiomas in the oral and maxillofacial regions in children were treated safely using plastic surgical procedures with satisfactory results esthetically and functionally.
Chen
Wei-liang
WL
Department of Oral and Maxillofacial Surgery, the Second Affiliated Hospital of SUN Yat-sen University, Guangzhou, China.
Yang
Zhao-hui
ZH
Li
Jing-song
JS
Huang
Zhi-quan
ZQ
Wang
Jian-guang
JG
Zhang
Bin
B
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009062:Mouth Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps