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Surgical Management of Parotid Hemangioma

Reinisch, John F. M.D.; Kim, Regina Y. M.D.; Harshbarger, Raymond J. M.D.; Meara, John G. M.D., D.M.D.

Plastic & Reconstructive Surgery: June 2004 - Volume 113 - Issue 7 - pp 1940-1948
doi: 10.1097/01.PRS.0000122205.50329.E1
Original Articles

Hemangiomas represent one of the most common childhood neoplasms. They are often managed conservatively, requiring numerous years for spontaneous involution. No effective medical treatment has been reported for children with large, deforming hemangiomas of the parotid gland and overlying cheek. The authors retrospectively studied 17 children who underwent surgical resection of parotid hemangiomas at Childrens Hospital Los Angeles from 1997 to 2003. All 17 patients had improvements in facial asymmetry and deformity. There were no major complications. Minor complications included hematoma (11.8 percent), transient facial nerve palsy (11.8 percent), and blood transfusion (5.9 percent). All operations were performed on an outpatient basis. Surgical resection of parotid hemangiomas provides an aesthetic benefit to young children with low associated morbidity. Early resection by an experienced surgeon should be considered as a treatment option for these disfiguring lesions.

Los Angeles, Calif.

From the Division of Plastic Surgery, Childrens Hospital Los Angeles.

Received for publication February 3, 2003;

revised June 26, 2003.

John F. Reinisch, M.D.

Division of Plastic Surgery, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, No. 96, Los Angeles, Calif. 90027 jfr654@aol.com

©2004American Society of Plastic Surgeons