3. General info😁
Hemangioma is a benign tumor made up of blood vessels and typically occurs as a slightly elevated purplish or reddish area
of skin
Hemangioma is mostely found in superficial, subcutaneous hemangioma in nasal dorsum is rare
Vascular anomalies are congenital lesions of abnormal vascular development. There are two major groups of vascular
abnormalities, including vascular malformation, which is a local defect in vascular morphogenesis, and vascular tumor
(hemangioma), which is cellular hyperplasia Hemangioma usually occurs in pediatric patients; however, adult cases are also
possible. A study in Israel identified a majority of female patients among ten patients with nasal tip pediatric hemangioma ,
Hemangioma is common in adult males in any age group. It was found that 60% of hemangiomas in adults were located in
the head and neck region and involved the skin, subcutaneous tissues, tongue, nasal mucosa, oral cavity, larynx, and
salivary glands . The rest of the hemangiomas occurred in the trunk (25%) and extremities (15%)
Approximately 15.8% of facial hemangioma cases occur in the nose. A case of nasal dorsum hemangioma was reported by
Waner et al. [5], who found 44 patients in their series. They treated the patients with several approaches, such as external
rhinoplasty, modified unit, or elliptical and midline elliptical. They performed two surgeries with the midline elliptical and
elliptical approaches; furthermore, the results were varied from unsatisfactory to good. Similar to the other technique, the
results also varied between unsatisfactory, improvement, good, very good, or satisfactory [5].
Deep or subcutaneous hemangioma is considered rare, with only 15% of cases being subcutaneous hemangioma. The
majority of hemangioma cases were superficial hemangioma and mixed hemangioma, with the proportions of cases being
50–60% and 25–35%, respectively [6]. Subcutaneous hemangioma appears as a warm subcutaneous mass because of the
tumor proliferation localized in the deeper portion of the dermis or subcutaneously. During the proliferation phase, the
tumor has high-flow blood supply by arteries; hence, physical examination may reveal the presence of bruits. In smaller
subcutaneous hemangioma, the skin may appear normal with inconspicuous changes of the skin, such as telangiectasia or
dilated veins [1].
Pitanguy et al. advocated a midline elliptical incision, which can give good functional results and preserve the nasal contours
but leaves a rather obvious midline scar on the nasal dorsum [7]. An elliptical midline incision gives easy access to the nasal
dorsum, but in the lateral alar extension and columella area, this approach is not comparable to other modified subunit
incisions [5]. Simic et al. performed three different surgical techniques for nasal dorsum hemangioma: open rhinotomy,
lenticular excision, and circular excision. They reported that open rhinotomy provided a better outcome than circular
excision and lenticular excision [8].
4. Hemangioma🤥 is a benign, rapidly
growing solitary lesion, occur in the
skin and mucous membrane.
Etiology of such a lesion is
unknown, but it could be due to
trauma and hormonal factors.
According to several reports, a
common site of such a lesion is oral
cavity. Rarely, it involves the nasal
cavity.
5. 🤯During a baby's first five months, an infantile hemangioma will
grow quickly. This time is called the proliferative phase or growth
phase. For most babies, by about 3 months of age, the infantile
hemangioma will be at 80 percent of its maximum size
Plateau phase:🤯 The lesion remains stable and quiescent for a period
of months (between 6 and 12 months of life). Involution phase: This
may occur within the first year of life and can continue for several
year
For most babies🙄, by about 3 months of age, the infantile
hemangioma will be at 80 percent of its maximum size. In most
cases, they stop growing and begin to shrink by the baby's first
birthday. It will begin to flatten and appear less red. This phase,
called involution, continues from late infancy to early childhood.
6. Classification
• Capillary😎
benign (non-cancerous) tumor consisting of an abnormal
overgrowth of tiny blood vessels
• salmon patch
• strawberry
• Port wine stain
• Cavernous🤯 type of venous malformation due to
endothelial dysmorphogenesis from a lesion which is
present at birth.
7. Salmon patch😶
Sometimes called stork
bites or angel kisses,
salmon patches are reddish
or pink patches. They are
often found above the
hairline at the back of the
neck, on the eyelids or
between the eyes. These
marks are caused by
collections of capillary
blood vessels close to the
skin.
8. Strawberry🤥
strawberry hemangioma is a
clump of tiny blood vessels
that forms under the skin. It
causes a raised red skin
growth that may be present
at birth or develop during
infancy. A hemangioma looks
like a strawberry birthmark,
but it's actually a benign
(noncancerous) tumor. You
may also hear the term
vascular birthmark
9. Port wine🍷🍷
stain
A port-wine stain (nevus
flammeus) is a
discoloration of the
human skin caused by
a vascular
anomaly (a capillary
malformation in the
skin).They are so named
for their coloration, which
is similar in color to port
wine, a fortified red win
10. Signs and Symptoms🤯🤯🤯🤯😵💫😵💫😵💫😵💫
• Hemangioma may enlarge and/or change color with crying;
and a cutaneous lesion may blanch with pressure and may
have a spongy consistency on palpation
Symptoms of a hemangioma are:
A red to reddish-purple, raised growth on the skin.
A massive, raised, bluish lump with visible blood vessels.
Occasionally, a hemangioma can break down and develop a
sore. This can lead to pain, bleeding, scarring or infection.
Depending on where the hemangioma is situated, it may
interfere with your child's vision, breathing, hearing or
elimination,
