My 3 month old child has a hemangioma. Should she undergo surgery, laser treatment or treatment with propranolol?
Theis is an important question that can confuse many parents. This decision is best made by the physician treating your child but as a parent, it is however your perogative to be informed. During their growth period, segmental hemangioma are best treated with propranolol or steroids. If there is a skin component (red skin overlying the hemangioma, this should be treated with laser. Early agressive management can, in many cases, return the skin color and contour to normal by the time the child is one year of age. Reguarding focal hemangiomas, a disfiguring facial hemangioma should be treated. If it is superficial, laser treatment is best. If there is a deeper component, laser treatment together with propranolol treatment is best. Surgery should be contemplated if there is involvement of the eyelid, airway or there is ulceration. If it seems likely that surgery will ultimately be necessary then on occasion, this may be contemplated. Q: My child has a birthmark. What does that really mean
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