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血管腫의 治療

Treatment of Hemangioma

경북의대잡지 1978년 19권 2호 p.273 ~ 280
백봉수,
소속 상세정보
백봉수 (  ) - 경북대학교 의과대학 성형외과학교실

Abstract


No matter what kind of methods may be tried for the treatment of an extensive facial hemangioma, the results offer no much improvement and sometimes refer or her to a beautician for camouflage with cosmetics. Fortunately God gave a 80∼90% chance of spontaneous involution for the strawberry hemangioma by the age of 5 years and the btrawberry hemangioma is the commonest type of hemangiomas. However, when plastic surgeons confronted with patients with another type of hemangioma or not involuted strawberry hemangioma, they should do something for the patients eventhough they shake their heads sadly after sending the patients. The consider excision and skin grafting, advancement or rotation flap, serial excision, sclerosing agents, compression methods and irradiation but they hesitate to select any method.
Author experienced 45 cases of hemangioma from Jan. 1976 to Sept. 1978 and results were as follows.
1. Of 45 cases, 31 were female and 14 were male.
2. 25 cases had hemangiomas on the head and neck.
3. The commonest type was strawberry hemangioma as 22 cases, and portwine and cavernous type had same incidence as 10cases.
4. Of 10cases of portwine hemangioma, serial excision in 2cases, excision and split thickness skin graft in 5cases and advancement or rotation flap in 3cases were performed and flap cases had best results.
5. Of 22cases of strawberry hemangioma, prednisolone medication was given in 10 cases. 6 cases had signs of involution and 2 cases had complete involution but 2 cases had no change. However, 7 observation cases without medication had sign of involution in 3 cases.
6. Operation was done in 6 cases of cavernous hemangioma but complete ekcision was not possible in 4 cases.

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