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  #1  
Old 04-10-2010, 11:49 AM
ongsyen ongsyen is offline
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Default nose tip hemangioma

Hi
My daughter now 6 months old with hemangioma on nose tip.
I have 2 option either (1) Surgery which left scar (2) Laser treatment -YAG.
Can anyone explain the result for this two approach.
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  #2  
Old 04-10-2010, 11:52 AM
ongsyen ongsyen is offline
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Is it common for 8 months baby go for surgery because of nose tip hemangioma?
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  #3  
Old 04-10-2010, 01:22 PM
missy missy is offline
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I moved this to the right forum.

Where are you located and are you working with a specialist? nose tip hemangiomas seem, to me, especially stubborn. I would probably go ahead and opt for surgical removal if it's an option, but that's just my opinion. Even a small scar is better than a hemangioma and the scar will likely fade over time since she's so young.

And, yes, I've heard of babies that young going for surgery for nose tip hemangiomas.

Missy
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  #4  
Old 04-10-2010, 05:30 PM
nickbar nickbar is offline
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Would you be willing to share a photo of the hemangioma? Nasal tip hemanigomas are some of the most frustrating and distructive hemangiomas depending on the size and growth of the h. Surgical intervention is often needed to repair the damage. It is in my opinion that highly experienced vascular birthmark specialists should be consulted on this prior to treatment. Nasal tip h. excision techniques have been developed to get optimal end results. I would encourage you to write to the surgical expert on the front page of this website. If you need help let me know. Where are you located? Also, with the concern with scarring, the surgeons we often consult with here have really fine tuned the closure techniques to mimimize scars/hide the scars well. The specialist may even be willing to show you before/after photos of patients they have treated. Now, without knowing what the h. looks like on your baby.... laser will only help with the superficial red portion of the hemangioma. The YAG may not be the proper equipment, that would also be a question for the experts on our list.

Surgery for an 8 month old is not necessary common, but it does happen and may be benefitical in some cases. Again, it really depends on what the h. looks like, how it is growing/changing. The expert specialists know the optimal time for removal based on seeing 1000's of cases.

I hope this helped. Please feel free to email me.
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  #5  
Old 04-11-2010, 09:11 AM
ongsyen ongsyen is offline
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Dear Corinne
I am from Malaysia.My baby now 6 months old girl.
Doctor A from Malaysia advise me
(1) -He said H will subside,wait and observe.He claim it wont disappear even
for so many years.
-Wait until she is age 1 ,do MRI,then do laser to stop H to growth.
-Age 3 where H will become smaller,then do surgery which will left one
line scar and surgery cost is cheaper (USD300).He said scar on nose is
not obvious and it will fade as compare to other face area, is it true?
(If we do surgery now, it will left 3 lines scar and surgery cost is USD
3000 because of it is complicated and size)

Doctor B from Malaysia advise me
(2) Do surgery at 8 months old and will left scar and he will try to camouflage
it.No laser treatment, 45 minutes surgery with stiches.MRI is not
necessary before surgery.Is it true? It will cost USD1500

Doctor C from Malaysia advise me
(3) He will recommend me to Bangkok, thailand to refer the speaclist in
dermatosurgery and laser skin therapy.
No scar but mark in different colour.
He is not sure with the cost but they use laser treatment.
The arrangement shall be after bangkok protest.

(a) I have read article about surgery
Hemangiomas of the Nose-Surgical Management Using a Modified Subunit Approachhttp://archfaci.ama-assn.org/content/10/5/329.full

(b) I have also read about laser therapy on nose hemangioma, please read the attachment.http://www.ncbi.nlm.nih.gov/pmc/arti...00359-0026.pdf

pls advise is laser therapy approach surpass surgery
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  #6  
Old 04-12-2010, 04:02 AM
abirk abirk is offline
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My daughter has a small hemangioma on her nose and we did the laser treatments from the time she was six months old to twelve months old. It made the color go from a bright red to a greyish purple color but it is still there. She'll be turning three in the fall and it has not changed in a year and a half. She's schedule to have surgery in November to remove it.

We recently found out that h's on the nose (no matter the size) do not go away completely and do typically need to be removed by surgery. I feel good about our decision and wished we had the surgery when she was a year old.
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  #7  
Old 04-12-2010, 09:28 AM
ongsyen ongsyen is offline
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arbik
I have read about laser therapy on nose hemangioma, please read http://www.ncbi.nlm.nih.gov/pmc/arti...00359-0026.pdf
why they can cure the H by laser?
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  #8  
Old 04-14-2010, 06:28 PM
nickbar nickbar is offline
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Hello,

I am not sure how benefitial laser will be for the deep portion of her hemangioma. It can help with the superfical part, but mainly the h. appears to be deep. I would highly recommend consulting with Dr. Gregory Levitin the VBF ask the Surgeon. He would be able to evaluate the pictures and comment on what approach would benefit her in the long run. If the h. is still growing laser may help to control the superfical portion. If you need any help getting to Dr. Levitin, let me know. He would likely be willing to share his opinion with a physician in your Malaysia.
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  #9  
Old 04-15-2010, 04:55 AM
ongsyen ongsyen is offline
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Hi Corinne

I have email you the photos of my daughter.Yes, could I email my case to Gregory Levitin?
Please help.

My email siew_yen_ong@keongco.com.my
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  #10  
Old 04-15-2010, 11:30 AM
missy missy is offline
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To email Dr. Levitin, go to

http://birthmark.org/node/152

and you can email him from there.

Missy
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