دورية أكاديمية
أعرض في EDS

The Cyrano nose: refinements in surgical technique and treatment approach to hemangiomas of the nasal tip.

التفاصيل البيبلوغرافية
العنوان: The Cyrano nose: refinements in surgical technique and treatment approach to hemangiomas of the nasal tip.
المؤلفون: Arneja JS; Vancouver, British Columbia, Canada; Cleveland, Ohio; and Milwaukee, Wis. From the Division of Plastic Surgery, British Columbia Children's Hospital and University of British Columbia; the Department of Plastic Surgery, Case Western Reserve University; and the Department of Dermatology, Medical College of Wisconsin., Chim H, Drolet BA, Gosain AK
المصدر: Plastic and reconstructive surgery [Plast Reconstr Surg] 2010 Oct; Vol. 126 (4), pp. 1291-1299.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore : Williams & Wilkins,
مواضيع طبية MeSH: Hemangioma/*surgery , Nose/*surgery , Nose Neoplasms/*surgery , Rhinoplasty/*methods, Cohort Studies ; Combined Modality Therapy ; Esthetics ; Female ; Follow-Up Studies ; Hemangioma/diagnosis ; Humans ; Infant ; Male ; Nose Neoplasms/diagnosis ; Otorhinolaryngologic Surgical Procedures/methods ; Retrospective Studies ; Treatment Outcome ; Wound Healing/physiology
مستخلص: Background: Nasal tip hemangiomas cause significant parental distress and can negatively affect the psychological development of a child. Treatment is controversial, with numerous modalities available for reconstruction. The authors outline their combined medical and surgical approach to treating nasal tip hemangiomas and describe their preferred surgical technique.
Methods: A retrospective review was performed of all nasal tip hemangiomas presenting to the Multidisciplinary Vascular Anomalies Clinics at the Children's Hospital of Wisconsin and Children's Hospital of Michigan from 1999 to 2007. Parameters for review included onset age, symptoms, medical therapies (laser with or without steroid) used, age and status of lesion at time of surgery, outcomes, and complications.
Results: Twenty-five patients met inclusion criteria, with a mean onset age of 1.43 months. Most received steroids and pulsed dye laser therapy (mean no. of laser treatments, 3.5) during the proliferative and plateau phases of the tumor's natural history. Surgical resection after involution has been performed using an open rhinoplasty technique on 15 patients thus far. Eleven of them had surgical correction in the postinvolutional phase, and at parental request, four had early surgical correction during the proliferative-plateau phases. In the early treatment cohort, one child developed a hematoma postoperatively; the same patient required a revision rhinoplasty for alar rim asymmetry. Acceptable aesthetic results were obtained in both groups.
Conclusions: A combined medical and surgical approach offers the best method to treat the Cyrano nose. The authors' treatment algorithm uses early medical management to accelerate involution of the lesion, providing optimal conditions for excision. Early surgical treatment also allows satisfactory results but may require secondary correction. An open rhinoplasty approach with skin resection is the authors' preferred technique.
التعليقات: Comment in: Plast Reconstr Surg. 2011 Jun;127(6):2507-8; author reply 2508-9. (PMID: 21617487)
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تواريخ الأحداث: Date Created: 20101002 Date Completed: 20101210 Latest Revision: 20210106
رمز التحديث: 20221213
DOI: 10.1097/PRS.0b013e3181ea44c5
PMID: 20885249
قاعدة البيانات: MEDLINE
الوصف
تدمد:1529-4242
DOI:10.1097/PRS.0b013e3181ea44c5