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Surg Neurol Int. 2014 Mar 27;5:41. doi: 10.4103/2152-7806.129560. eCollection 2014.

Surgical management of large scalp infantile hemangiomas.

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Division of Neurosurgery, Geisel School of Medicine at Dartmouth, Lebanon NH, USA.
Department of Neurosurgery, Hospital for Sick Children, Toronto, Canada.
Department of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon NH, USA.
Department of Neurosurgery, Vanderbilt University Medical Center, Nashville TN, USA.



Infantile Hemangiomas (IH) are the most common benign tumor of infancy, occurring in over 10% of newborns. While most IHs involute and never require intervention, some scalp IHs may cause severe cosmetic deformity and threaten tissue integrity that requires surgical excision.


We present our experience with two infants who presented with large scalp IH. After vascular imaging, the patients underwent surgical resection of the IH and primary wound closure with excellent cosmetic outcome. We detail the surgical management of these cases and review the relevant literature.


In some cases the IHs leave behind fibro-fatty residuum causing contour deformity. Surgery is often required for very large lesions causing extensive anatomical and/or functional disruption. The goal of surgical intervention is to restore normal anatomic contour and shape while minimizing the size of the permanent scar.


Congenital abnormality; hemangioma; scalp; surgical management

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