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Forty-four cases of labial hemangioma: therapeutic management

M. Maillet Declerck, G. Poiret, C. Chopinet Degrugillier, GM. Brevière , P. Pellerin, V. Duquennoy - Martinot

Department of Pediatric Surgery and Orthopaedics, Jeanne de Flandre Hospital, Lille, France

 

ABSTRACT

Introduction: The evolution of the cutaneous hemangioma is favorable in 90% of the cases with restitution and integrum until the age of 7-8 years. However in certain localizations as the labial area the evolution is more uncertain, with more frequent and serious complications involving aesthetic sequelae that are sometimes difficult to repair at the adulthood. We study a series of 44 labial hemangiomas.

Material and methods: It is a retrospective study about 44 children followed in the CHRU of Lille between 1991 and 2007 for labial hemangiomas. The localization, the complications, the medical treatment and the early, delayed or multiple surgical treatments were studied.

Results: The hemangioma was located at the level of the upper lip in 31 children and the lower lip in the other 13. In 13 cases (7 for the upper lip and 6 for the lower lip or 30%) the hemangioma was complicated by ulceration (9 cases) or respiratory obstruction (4 cases). A medical treatment by corticosteroids for 4 months was necessary in 11 children (25%). 16 children (36%) needed surgical treatment, all for aesthetic reasons. Among the operated children, 5 have already had a medical treatment, 7 had an early surgery before the age of 6 years, 2 needed several interventions and 4 will probably need reintervention.

Discussion: The labial hemangiomas are complicated more frequently than the others (30% versus 25%) especially those located at the level of the lower lip. They rarely are problematic or cause functional difficulty, on the other hand they require more frequently oral corticotherapy (25% versus 13%) and surgery for the sequelae until the age of 4-5 years but the surgery is demanding.

 

Key words: labial hemangioma, treatment.