Infantile Hemangioma - CHU Sainte-Justine - SAAC

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What about timing of involution?• 81 patients - 88%needed reconstivesurgery for residualdeformity.• Involution ceased at amedian age of 36months• 92% of IH completedinvolution by 4 yearsCouto et al. Plast Reconstr Surg.Online early 5/9/12
Reevaluationat age 3 to 4 years• “If there is a problem, we’ll take care of it beforeKindergarten”• Can gauge whether permanent skin changesmore easily• This timing also fits with knowledge of cognitivedevelopment
Page 1 and 2: Infantile Hemangiomas:Approach and
Page 3 and 4: Overview• Which hemangiomas need
Page 5 and 6: How do we decidewhich hemangiomasto
Page 7 and 8: Risk of Segmentals• Segmental hem
Page 9 and 10: Residual skin changes inuntreated h
Page 11 and 12: Very Early Growth:Birth 1 year 2yea
Page 13 and 14: Very Early Growth:Study usingparent
Page 15: Timing of Initiation of Treatment~1
Page 19 and 20: Propranolol as RxLéauté-Labrèze
Page 21 and 22: Results of Systematic Review• Res
Page 23 and 24: Propranolol ConsensusGuidelinesDrol
Page 25 and 26: Monitoring - All Patients• The pe
Page 27 and 28: Caveat• This information is based
Page 29 and 30: What about TopicalBeta-Blockers?
Page 31 and 32: Topical Beta-Blockers:Experience in

Infantile Hemangioma - CHU Sainte-Justine - SAAC

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