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J Craniofac Surg. 2011 Mar;22(2):585-8. doi: 10.1097/SCS.0b013e31820873ac.

Algorithmic approach to the management of hemangiomas.

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  • 1Division of Plastic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Cedars-Sinai Medical Center, Los Angeles, California 90033, USA.


Hemangiomas are a common benign vascular tumor that can occur in all parts of the body. These lesions can be a distressing sight for both patient and parent. This unique vascular tumor has characteristic phases of growth. Historically, these tumors have been treated nonoperatively, but with variable results. Often, the residual-resolved tumor produces contour defects, unpredictable scarring, and pigmentation problems. The authors devised an algorithmic diagram for treating hemangiomas based on a 30-year experience with treating these unique tumors. This step-by-step method delineates the thinking method that should be used when presented with a difficult hemangioma. This algorithmic method takes into account a multifactorial approach to management. This includes anatomic location, growth velocity, treatment response, expected outcome, and psychosocial considerations.

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