An Initial Overview of Management and Treatment Outcomes for Head and Neck Hemangiomas

Authors

  • Rodolfo U. Fernandez, III Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila

DOI:

https://doi.org/10.32412/pjohns.v32i2.73

Keywords:

propranolol hydrochloride, prednisone, pulsed radiofrequency treatment, capillary hemangioma, , vascular tissue neoplasms

Abstract

Objective: To provide an initial overview of the outcomes of different treatment modalities used for hemangiomas.

Methods:

Design:           Case Series

Setting:           Tertiary National University Hospital

Participants: Records of 21 patients diagnosed with head and neck hemangiomas in the Philippine General Hospital Department of Otorhinolaryngology from 2009 to 2014 were reviewed.

Results: Majority of the patients were female (61.9%) and in the pediatric age group (57.1%). Of the 21 patients, 6 underwent medical management, 13 had surgical management, 1 had both medical and surgical management, and 1 opted to observe the lesion. All patients treated with propranolol observed a decrease in the size of the lesion. Seven out of the 13 patients had radiofrequency ablation; all had gross residual lesion. Six of the 13 underwent excision, with complete excision being achieved in 5 of 6 cases.

Conclusion: Treatment response of patients in this series with hemangiomas of the head and neck to propranolol at a dose of 1 to 2 mg/kg/day may reflect international data. Outcomes analysis for radiofrequency ablation and surgical excision requires a longer duration of follow-up.

 

Keywords: propranolol hydrochloride, prednisone, pulsed radiofrequency treatment, capillary hemangioma, vascular tissue neoplasms

 

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Published

2018-07-24

How to Cite

1.
Fernandez RU. An Initial Overview of Management and Treatment Outcomes for Head and Neck Hemangiomas. Philipp J Otolaryngol Head Neck Surg [Internet]. 2018 Jul. 24 [cited 2024 Nov. 21];32(2):30-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/73

Issue

Vol. 32 No. 2 (2017): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Original Articles

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.