Tratamentul chirurgical al hemangioamelor cervico-faciale la copil – unde, când şi cum?

Introduction. Hemangiomas are among the most common benign tumors in children, with an incidence of 2-3% in newborns and up to 10% in the first year of life. The pathology at the level of head and neck accounts for 60% of the total number of cases with hemangiomas. In pediatric cases, most of them resolve spontaneously. Therefore, the the­ra­peutic modalities should be applied in cases with an im­por­tant esthetic deficit, with functional disturbances or with recurring bleeding. In children, the treatment should be preemptive in nature and requires the parents’ in­formed consent. Materials and method. We describe the case of a 9-year-old girl with hemangioma at the level of the right nasogenial groove. We applied our current al­go­rithm for diagnosis and treatment and we performed the oral radical ablation of the hemangioma. Discussion. In pediatric cases, many of them have a spontaneous re­so­lu­tion. The indication for undergoing a treatment mo­da­li­ty derives from major esthetic impact, functional dis­tur­bances or recurrent bleeding. Conclusions. The children with face and neck hemangiomas require a personalized ap­proach tailored in a complex team meeting. Selective em­bo­li­za­tion should be performed in selected cases before sur­gi­cal ablation by a trained interdisciplinary team.