Very large compound hemangioma of the cheek before and after one surgical procedure.
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Medical Hemangioma Therapy
Steroids are the mainstay of medical treatment for hemangiomas. Their goal is to slow down the growth of the lesion. Therefore, they are only useful during proliferation – treating an involuting hemangioma with steroids is not useful but unfortunately is commonly done.
Oral or systemic steroid hemangioma therapy is used for rapidly proliferating lesions in a cosmetically sensitive area or one causing functional impairment.
Carefully Monitored Treatment is Necessary
Lesions are rarely life-threatening. These are always treated with steroids
and other medicines. The use of this medication is carefully monitored due to side effects. They are very effective in slowing down the proliferation and buying
time for other options, however.
There is evidence that shows that systemic
steroids used for hemangioma therapy and treatment of problematic lesions have short
term side effects but no long term complications. These medications must be used at an appropriate dosage for a lengthy period while the child is monitored by a specialist and pediatrician.
Patients must be carefully weaned off of the steroids and sometimes
are restarted at a lower dosage if the hemangioma
‘rebounds’ or begins to grow again.
The closer the patient is to 12 months of
age, the less likely the lesion is to continue growing. Intra-lesional
injections of steroids, in our opinion, are of benefit in a limited
number of cases. The typical lesion which will respond to steroid
injection therapy is small, circumscribed and deep. Traditionally, lesions
around the eye have been treated with these injections. It is our opinion that surgery is often a better option. In any case, the injections
must be repeated several times to see an effect.
Get more information about your Hemangioma therapy options
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