Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants

Rania El Essawy,1 Rasha Essameldin Galal21Department of Ophthalmology, 2Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, EgyptBackground: The purpose of this study was to evaluate the results and complications of early surgical resection of large amblyogenic subdermal eyelid h...

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Autores principales:	El Essawy R, Galal RE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/014c2fdeeb09432782718b2aee2cc8ed
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spelling	oai:doaj.org-article:014c2fdeeb09432782718b2aee2cc8ed2021-12-02T02:43:31ZParenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants1177-54671177-5483https://doaj.org/article/014c2fdeeb09432782718b2aee2cc8ed2013-05-01T00:00:00Zhttp://www.dovepress.com/parenteral-corticosteroids-followed-by-early-surgical-resection-of-lar-a13180https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rania El Essawy,1 Rasha Essameldin Galal21Department of Ophthalmology, 2Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, EgyptBackground: The purpose of this study was to evaluate the results and complications of early surgical resection of large amblyogenic subdermal eyelid hemangiomas in infants after prior short-term parenteral administration of corticosteroids.Methods: Sixteen infants were given dexamethasone 2 mg/kg/day in two divided doses for three consecutive days prior to scheduled surgical excision of large eyelid hemangiomas. The lesions were accessed via an upper eyelid crease, subeyebrow incision, or a lower eyelid subciliary incision.Results: In all cases, surgical excision of the entire lesion was possible with no significant intraoperative or postoperative complications. The levator muscle/aponeurosis complex was involved in 31.25% of cases and was managed by reinsertion or repositioning without resection. A satisfactory lid position and contour with immediate clearing of the visual axis was achieved in all but one case (93.8%).Conclusion: Parenteral corticosteroids helped in reducing volume and blood flow from the hemangiomas, allowing for very early total excision of large subdermal infantile hemangiomas without significant intraoperative hemorrhage. This resulted in immediate elimination of any reason for occlusion amblyopia. Long-term follow-up of visual development in these patients would help to demonstrate the effectiveness of this strategy compared with more conservative measures.Keywords: large eyelid hemangiomas, early surgical resection, parenteral corticosteroidsEl Essawy RGalal REDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 955-958 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 El Essawy R Galal RE Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
description	Rania El Essawy,1 Rasha Essameldin Galal21Department of Ophthalmology, 2Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, EgyptBackground: The purpose of this study was to evaluate the results and complications of early surgical resection of large amblyogenic subdermal eyelid hemangiomas in infants after prior short-term parenteral administration of corticosteroids.Methods: Sixteen infants were given dexamethasone 2 mg/kg/day in two divided doses for three consecutive days prior to scheduled surgical excision of large eyelid hemangiomas. The lesions were accessed via an upper eyelid crease, subeyebrow incision, or a lower eyelid subciliary incision.Results: In all cases, surgical excision of the entire lesion was possible with no significant intraoperative or postoperative complications. The levator muscle/aponeurosis complex was involved in 31.25% of cases and was managed by reinsertion or repositioning without resection. A satisfactory lid position and contour with immediate clearing of the visual axis was achieved in all but one case (93.8%).Conclusion: Parenteral corticosteroids helped in reducing volume and blood flow from the hemangiomas, allowing for very early total excision of large subdermal infantile hemangiomas without significant intraoperative hemorrhage. This resulted in immediate elimination of any reason for occlusion amblyopia. Long-term follow-up of visual development in these patients would help to demonstrate the effectiveness of this strategy compared with more conservative measures.Keywords: large eyelid hemangiomas, early surgical resection, parenteral corticosteroids
format	article
author	El Essawy R Galal RE
author_facet	El Essawy R Galal RE
author_sort	El Essawy R
title	Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
title_short	Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
title_full	Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
title_fullStr	Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
title_full_unstemmed	Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
title_sort	parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/014c2fdeeb09432782718b2aee2cc8ed
work_keys_str_mv	AT elessawyr parenteralcorticosteroidsfollowedbyearlysurgicalresectionoflargeamblyogeniceyelidhemangiomasininfants AT galalre parenteralcorticosteroidsfollowedbyearlysurgicalresectionoflargeamblyogeniceyelidhemangiomasininfants
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Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants

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