乳児耳下腺血管腫の保存的治療

概要

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Five infants with parotid hemangioma are reported with successful conservative treatment. Male to female ratio was 2 : 3. The onset of infantile parotid hemangiomas was less than 3 months of age, and tumors grew up rapidly. Compression of the external auditory canal and pharynx was found in 2 infants. Pathologically, resected spcimens showed capillary hemangioma in all. Total parotidectomy was done in 1 infant with mild facial palsy for 14 years after surgery. Partial parotidectomy was performed in 2 infants with prednisolone therapy which was given orally 20 or 30mg every other day for 4 and 6 months respectively. Three years after treatments, the residual mass disappeared completely in both. The remaining 2 infants underwent the every other day prednisolone therapy alone with successful regression. Parotid hemangiomas in infants usually tend to regress spontaneously, and can be treated with only prednisolone when they are so large in size. Prednisolone can be administered 20 or 30mg every other day without any complication and changing the circadian rhythm of cortisol levels in serum.
1986-05-20