Hemangiomas are vascular lesions of childhood. They grow rapidly, usually become uniformly red, and they then involute to a variable degree. In high flow proliferative lesions, there is pulsation over the lesion and evidence of high-flow when examined by Doppler. In other less “active” low flow lesions, this is not the case. Histological examination shows endothelial hyperplasia in the early stages. In later stages, the basement membrane is multi-laminated. The residual scarring may necessitate revisional surgery. In large lesions on the face, local flap reconstruction may be necessary. If the areas to be replaced are large, tissue expansion is frequently utilized in order to have a flap of sufficient size. In the nasal tip, early excision may be justified but this requires a case-by-case assessment.
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2008
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