engleski

An original novel successful approach for cutaneous infantile haemangiomas (CIH) with silicone gel sheets

AIM: The choice of the best treatment modalities for cutaneous infantile haemangiomas (CIH) has always been a matter of controversy. Use of propranolol can be associated with the wide side effects: bradycardia , hypotension, bronchospasm , peripheral vasoconstriction, weakness and fatigue, sleep disturbance, hypoglycemia, gastrointestinal disturbances etc. Laser or other surgical approaches are limited due to needs of one or multiple general anesthesia in a fragile period of child development. Does a use of silicone gel sheets change our old conservative“ wait and see“ paradigm and lead to increasing success compared with other techniques in the treatment of CIH? MATERIALS AND METHODS: Our original novel approach with local application of the silicone gel sheets were topically applied. A retrospective chart review was performed. Treatment benefit was measured by subjective assessment of lesion regression by the medical team at clinic review. Improvement was documented objectively by serial photography providing a permanent record for parents and staff of the improvement in size, shape, color, contour and residual deformity of lesions. Outcome graded into five classifications by the patient’s parent and operator independently based on photographic records: clear, marked improvement, partial response, poor response, and no change or worsening were measured after 3, 6, 9 and 12 months of the treatment. RESULTS: Silicone gel sheets treatments were performed for our 120 patients with CIH (78 female, 42 male). Infant age at start of treatment ranged from 2 weeks to 17 months. There was a 92% clinical clear or marked improvement seen after 12 or less months of the treatment. CONCLUSION: The traditional surgical or conservative therapeutic arsenal for haemangiomas in early childhood can now be considered to include silicone gel sheets as painless, safe and low-cost approach with very effective endpoint.

cutaneous infantile haemangiomas ; silicone gel sheets ; children

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