Open AccessConservative management of ulcerated haemangioma – twenty years experience
Author(s) -
Pandey Anand,
Gangopadhyay Ajay Narayan,
Sharma Shiv Prasad,
Kumar Vijayendra,
Gopal Saroj Chooramani,
Gupta Dinesh Kumar
Publication year - 2009
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/j.1742-481x.2008.00562.x
Subject(s) - medicine , presentation (obstetrics) , surgery , conservative management , head and neck , complication , intravenous antibiotics , antibiotics , microbiology and biotechnology , biology
Ulceration is the most common complication of haemangioma and occurs in 5–15% of cases. The present study was carried out to evaluate the clinical features of ulcerated haemangioma and efficacy of the management protocol adopted by us over a period of 20 years. All patients with ulcerated haemangioma were evaluated on the basis of age at presentation, sex, rural or urban distribution and site of haemangioma. Treatment included application of topical antibiotic and systemic antibiotic and analgesic for pain. The total number of patients was 608. The male to female ratio was 1: 2·28. The rural:urban distribution was 2·43:1. The most common site of involvement was head and neck. Mean age of patients was 5·60 ± 2·44 months. Mean size of haemangioma and ulceration was 47·30 ± 20·67 cm 2 and 7·49 ± 4·52 cm 2 , respectively. The mean time for ulcer healing was 40·06 ± 19·41 days. Ulcer size of more than 10 cm 2 took more time to heal. Response to treatment was satisfactory. Ulcerated haemangioma usually occurs before completion of 1 year of age; hence, every patient with haemangioma needs careful attention. Adequate treatment and regular follow up brings satisfactory response in the patients.