The Use of Selective Photothermolysis with Sclerosing to Treat Congenital and Neonatal Vascular Maxillofacial Hyperplasia in Children

The aim of the investigation was to assess the treatment efficacy of maxillofacial infantile hemangiomas by a single-stage use of selective photothermolysis and sclerosing compared to the isolated use of selective photothermolysis and conventional cryodestruction.

Materials and Methods. 250 clinical cases were studied. The patients were divided into three groups: group 1 — with cryodestruction (n=79), group 2 — selective photothermolysis (n=87), group 3 — combined treatment of selective photothermolysis and sclerosing (n=84). For the avoidance of doubt, we selected only similar clinical cases, the main selection parameter being he height and(or) depth of vascular hyperplasia invasion in intact tissues (from 5 to 9 mm), the involvement area being of secondary importance. The treatment efficacy criteria were the following: 1) reduction of the involvement area (cosmetic result) in the course of the first procedure; 2) the number of follow-ups of a growing tumor in a group per year; 3) reduction of treatment duration.

Results. Mean treatment time in combination of selective photothermolysis and sclerosing reduced by 60% compared to cryodestruction, and by 37% — compared to monotherapy (selective photothermolysis). Positive cosmetic result after the first treatment procedure exceeded that of monotherapies: cryodestruction — by 25.61%, and selective photothermolysis — by 14.77%. There was observed the reduced number of repeated procedures necessary for maximum tumor regress.

Conclusion. A combined technique of selective photothermolysis and sclerosing enables to improve the treatment efficacy of pediatric hemangiomas, improve functional and esthetic results, and reduce the time required for the management of children with this pathology.

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Ryzhevskiy D.V., Trubin V.V., Durnovo Е.А. The Use of Selective Photothermolysis with Sclerosing to Treat Congenital and Neonatal Vascular Maxillofacial Hyperplasia in Children. Sovremennye tehnologii v medicine 2014; 6(4): 145