Original ArticlesPersistent Nasal Infantile Hemangioma A Surgical Treatment AlgorithmGiugliano, Carlos MD*,†,‡; Reculé, Francisca MD§; Guler, Kenneth MD†; Gantz, José Tomás MD||; Hasbún, Trinidad MD¶,#Author Information *Unidad de Cirugía Plástica, Departamento de Cirugía, Clínica Alemana †Servicio de Cirugía Plástica, Hospital Roberto del Río ‡Cirugía Plástica, Fundación Gantz Hospital del Niño con Fisuras §Servicio de Dermatología, Facultad de Medicina, Clínica Alemana ||Unidad de Cirugía Plástica, Servicio de Cirugía General, Hospital Padre Hurtado ¶Servicio de Dermatología, Clínica Alemana #Servicio de Dermatología, Hospital Exequiel González Cortés, Santiago, Chile. Address correspondence and reprint requests to Francisca Reculé, MD, Manquehue Norte 1410, Las Condes, Santiago, Chile; E-mail: firstname.lastname@example.org Received 30 December, 2017 Accepted 29 May, 2018 The authors report no conflicts of interest. Journal of Craniofacial Surgery: September 2018 - Volume 29 - Issue 6 - p 1509-1513 doi: 10.1097/SCS.0000000000004778 Buy Metrics Abstract Treatment of infantile hemangioma is usually medical. The nose is one of the most important aesthetic and functional units of the face; therefore, surgical management is preferred in persistent lesions (fibro-fatty tissue component) that do not respond to medical treatment. Herein, the authors analyze the results of surgical nasal hemangioma treatment in their center, a literature review and propose an algorithm for surgical management. A retrospective analysis of 23 persistent nasal hemangioma operated between 1996 and 2014 at our institution was made. The authors recollected the following demographic and clinical data: hemangioma subtype, phase of evolution, affected aesthetic nasal subunit, previous treatment, surgery type, complications and follow-up period. The Strasser scale was chosen for assessment of postoperative photographic results. Surgical treatment was performed. Age average was 6.8 years old (range 2–19). Mixed hemangioma was the most common subtype (83%). Surgery was mainly performed in the involution phase (87%). The most affected aesthetic subunit was nasal tip (44%). All lesions received previous medical treatment. The most common surgical technique was open rhinoplasty approach. Follow-up was an average of 26.6 months. Aesthetic results according to the Strasser method included: 3 excellent scores, 15 good, 5 regular, and none poor. Surgery was performed on patients in order to correct nasal persistent hemangiomas sequel. The nose has serious psychosocial impact and mixed infantile hemangiomas appear to have a higher rate of persistent hemangioma requiring surgery, but further studies are needed. Aesthetic outcome with surgical procedures chosen were acceptable and no complications were reported. © 2018 by Mutaz B. Habal, MD.