
Prevention of errors and complications in the treatment of children with vascular lesions of the head and neck
Журнал: Пластическая хирургия и эстетическая медицина. 2026;(1):64-73.
DOI: 10.17116/plast.hirurgia202601164
Read: 1753 раза
Abstract
OBJECTIVE
To develop a treatment algorithm reducing the number of errors and complications in children with hyperplasia of blood vessels in the head and neck.
MATERIAL AND METHODS
The study included 4335 patients with hyperplasia of blood vessels (infant hemangioma) in 1999-2024. Original algorithm for the treatment of children with vascular lesions of the head and neck was used. Various minimally invasive techniques were used within this algorithm: drug treatment with beta-blockers, laser coagulation, pulsed phototherapy, as well as combined treatment (surgery with interstitial laser coagulation, surgery followed by pulsed phototherapy).
RESULTS
Minimally invasive methods (drug therapy with beta-blockers, interstitial laser coagulation, pulsed phototherapy and combination of these methods) were followed by the best effects in children with various vascular lesions of the head and neck.
CONCLUSION
Original treatment algorithm for children with hyperplasia of blood vessels of the head and neck avoids errors at the stage of diagnosis and prevention of complications with subsequent favorable functional and aesthetic results.
Keywords
- medical error
- vascular hyperplasia
- infantile hemangioma
- laser coagulation
- pulsed dye laser
- beta blockers
Дата поступления: 12.01.2025
Дата принятия в печать: 20.02.2025
Дата публикации: 30.03.2026
- Roginskiy VV, Nadtochiy AG, Grigoryan AS, et al. Obrazovaniya iz krovenosnykh sosudov chelyustno-litsevoj oblasti i shei u detej — novyj vzglyad. Stomatology. 2011;4(90):71-76. (In Russ.).
- An illustrated guide to vascular supply to the head and neck. Edited by Professor V.V. Roginsky. Moscow: Library Plus; 2024:350. (In Russ.).
- ISSVA classification for vascular anomalies. 2018. Accessed May 12, 2019. https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf
- Wassef M, Blei F, Adams D, Alomari A, Baselga E, Berenstein A, Burrows P, Frieden IJ, Garzon MC, Lopez-Gutierrez JC, Lord DJ, Mitchel S, Powell J, Prendiville J, Vikkula M; ISSVA Board and Scientific Committee. Vascular Anomalies Classification: Recommendations From the International Society for the Study of Vascular Anomalies. Pediatrics. 2015 July;136(1):e203-e214. https://doi.org/10.1542/peds.2014-3673
- Mulliken, J, Burrows P, Fishman S. Mulliken and Young’s Vascular Anomalies Hemangiomas and Malformations. 2th ed. N.Y.: Oxford University Press; 2013:1095.
- Enjolras O, Wassef M, Chapot R. Color atlas of vascular tumors and vascular malformations. Cambridge; New York: Cambridge University Press. 2007:224-252.
- Perlovskaya VV, Stalmakhovich VN, Kaygorodova IN, et al. Experience in the treatment of hemangioma in children. Acta Biomedica Scientifica. 2019;1(4):114-119. (In Russ.). https://doi.org/10.29413/ABS.2019-4.1.17
- Gemangioma infantilnaya. Klinicheskie rekomendatsii Ministerstva zdravookhraneniya Rossijskoj Federatsii, 2023.
- Ganiev AA, Samigova GE. Selection of the optimal treatment method for hemangiomas in the head and neck area in early and young children. Young Scientist. 2020;3(293):96-98. (In Russ.).
- Kotlukova NP, Belysheva TS, Shats LI, et al. Possibilities of medical treatment of infantile hemangiomas in Russia. Russian Journal of Pediatric Hematology and Oncology. 2022;2(9):3-9 (In Russ.). https://doi.org/10.21682/2311-1267-2022-9-2-22-28
- Pashtaev NP, Trubin VV, Ryzhevsky DV. Combined treatment of hemangiomas in children. Practical Medicine. Kazan. 2012: 9(65):151-153. (In Russ.).
- Berezhnova S.G. Osnovnye napravleniya lecheniya gemangiom orbital’noj i paraorbital’noj lokalizatsii u detej. Rossijskij oftal’mologicheskij zhurnal. 2013;6(1):96-102. (In Russ.).
- Kucherov YuI, Zhirkova YuV, Rekhviashvili MG, Mikhalev IA, Moskvitina LN, Shiporev DL. Use of propranol for treating complicated hemangiomas in children. Pediatric Pharmacology. 2014;11(4):46-50. (In Russ.).
- Wong A, Hardy K, Kitajewsky A. Propranolol Accelerates Adipogenesis in Hemangioma Stem Cells and Causes Apoptosis of Hemangioma Endothelial Cells. Plastic and Reconstructive Surgery. 2012;5(130):1012-1021. https://doi.org/10.1097/prs.0b013e318267d3db
- Chen TS, Eichenfield LF, Friedlander SF. Infantile hemangiomas: an update on pathogenesis and therapy. Pediatrics. 2013;131(1):99-108. https://doi.org/10.1542/peds.2012-1128
- Chelsey J, Forbess Smith, Guma M, Kavanaugh A, Chambers C. Infantile Hemangiomas: An Updated Review on Risk Factors, Pathogenesis, and Treatment. Birth Defects Research. 2017;11(109):809-815. https://doi.org/10.1002/bdr2.1023
- Holcomb GW III, Murphy JP. Ashkraft’s Pediatric Surgery. 5th ed. Philadelphia: Saunders Elsevier; 2010:1101.
- Tiemann L, Hein S. Infantile Hemangioma: A Review of Current Pharmacotherapy Treatment and Practice Pearls. J Pediatr Pharmacol Ther. 2020; 25(7):586-599. https://doi.org/10.5863/1551-6776-25.7.586
- Hoeger PH, Harper JI, Baselga E, Bonnet D, Boon LM, Ciofi Degli Atti M, El Hachem M, Oranje AP, Rubin AT, Weibel L, Léauté-Labrèze C. Treatment of infantile haemangiomas: recommendations of a European expert group. Eur J Pediatr. 2015 July;174(7):855-865. https://doi.org/10.1007/s00431-015-2570-0
- Briones M, Adams D. Neonatal Vascular Tumors. Clin Perinatol. 2021; 48(1):181-198. https://doi.org/10.1016/j.clp.2020.11.011
- Greene A, Couto RA. Oral prednisolone for infantile hemangioma: efficacy and safety using a standardized treatment protocol. Plast Reconstr Surg. 2011;128(3):743-752.
- Roginskiy VV, Repina EA, Kotlukova NP, et al. Taktika lecheniya detej s giperplaziej krovenosnykh sosudov (tak nazyvaemymi detskimi i vrozhdennymi gemangiomami) v chelyustno-litsevoj oblasti i shei (obzor literatury i rezul’taty sobstvennykh issledovanij). Pediatriya. Prilozhenie k zhurnalu Consilium Medicum. 2013;1:84-90. (In Russ.).
- Shafranov VV, Borkhunova EN, Galibin IE, et al. Gemangiomy u detej: patogenez, klinika, lechenie s pomoshch’yu nizkik temperatur i SVCh-elektromagnitnogo polya. Plasticheskaya khirurgija i kosmetologiya. 2013;2:265-284. (In Russ.).
- Okunev NA, Okuneva AI, Vlasov AP, et al. Lokal’naya kriodestruktsiya gemangiom u detej. Bulletin of Experimental and Clinical Surgery. 2013;19:195-201. (In Russ.).
- Kozhevnikov EV, Markina NV, Kozhevnikov VA, et al. Diagnostika i lechenie obshirnykh kombinirovannykh gemangiom i gemangiom slozhnoj anatomicheskoj lokalizatsii u detej. Detskaya khirurgiya. 2009;6:31-34. (In Russ.).
- Dement’eva NA, Degtyar’ VA. Gemangiomy u detej: predlagaemaya meditsinskaya strategiya. Khirurgiya detskogo vozrasta. 2014;1-2(42):85-93. (In Russ.).
- Sheiko EA. Gemangiomy u detej rannego vozrasta (obzor literatury). Mezhdunarodnyj zhurnal prikladnykh i fundamental’nykh issledovanij. 2015;4-2:222-228. (In Russ.).
- Asilian A, Mokhtari F, Kamali AS, Abtahi-Naeini B, Nilforoushzadeh MA, Mostafaie S. Pulsed dye laser and topical timolol gel versus pulse dye laser in treatment of infantile hemangioma: A double-blind randomized controlled trial. Adv Biomed Res. 2015 Nov 30;4:257. https://doi.org/10.4103/2277-9175.170682
- Chinnadurai S, Sathe NA. Laser treatment of infantile hemangioma: A systematic review. Laser Surg Med. 2016;(48):221-233.
- Belysheva TS, Kotlukova NP, Valiev TT, Konstantinova NK, Telezhnikova ND, Lavrova TR, Gazalieva LR. Results of Infantile Hemangioma Laser Therapy in Children with Persistent Residual Signs after Systemic Propranolol Therapy: Clinical Cases. Current Pediatrics. 2021;20(5):418-425. (In Russ.). https://doi.org/10.15690/vsp.v20i5.2317
- Stier M, Glick S, Hirsch R. Laser treatment of pediatric vascular lesions: Port wine stains and hemangiomas. Journal of the American Academy of Dermatology. 2008;2(58):261-285. https://doi.org/10.1016/j.jaad.2007.10.492
- Putra J, Al-Ibraheemi A. Vascular Anomalies of the Head and Neck: A Pediatric Overview. Head Neck Pathol. 2021;15(1):59-70. https://doi.org/10.1007/s12105-020-01236-x
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