[Place of the precocious surgical treatment in facial hemangioma].
Infantile cutaneous hemangioma is a benign vascular tumour present at 10% of the infants. It forms part of the group of the vascular tumours in the classification of international society for vascular anomalies (ISSVA). Usual surgical attitude is abstention and surgery is proposed only in order to treat sequelae. But some particular situations require early surgery to avoid functional impairment, deformation or growth delay due to the lesion's development. Using our observations, we recall the epidemiology, the physiopathology, the clinical aspects, the particularities of the facial localizations and their treatments. In these localizations the time intervenes like a fourth dimension that is going to modify, to improve or to aggravate the prognosis. Treatment requires a strategy and precocious surgery. We insist on the fact that the dogma of the therapeutic abstention remained true for a majority of children with small size hemangioma and that a precocious surgery must be proposed for some localizations in the face.
Adouani
Ali
A
Service de stomatologie et de chirurgie maxillofaciale et esthétique, hôpital Charles-Nicolle, boulevard du 9-Avril-1938, 1006 Tunis, Tunisie.
Bouguila
Jed
J
Abdelali
Mouhamed Ali
MA
Ben Aicha
Mahdi
M
Landolsi
Amani
A
Hellali
Mouna
M
Zitouni
Karima
K
Mahri
Imen
I
Zairi
Issam
I
D000367:Age Factors; D005153:Facial Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D006391:Hemangioma / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans