Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.02.019
Brazilian Journal of Anesthesiology
Case Report

Anesthetic management of a patient with face hemangioma: case report

Meryem Onay; Sema Şanal Baş; İrem Özdöl; Birgül Yelken

Downloads: 0
Views: 10

Abstract

Anesthetic agents and/or surgical positions, the total volume of hemangioma may increase under general anesthesia; thus, airway management of patients with a hemangioma may be very difficult. Our patient in this case report has a periorbital and oropharyngeal hemangioma that reaches down to the esophagus. We observed that the size and volume of the hemangioma increased significantly during elective nephrectomy surgery. After adequate therapy with steroids and beta-blockers, the size of the hemangioma decreased during the postoperative care unit monitoring period. We report this case to show the importance of airway management of hemangiomas with the potential for life-threatening complications.

Keywords

Hemangioma;  Difficult airway management;  Beta-blockers;  Anesthesia

References

1 S.-Q. Xu, R.-B. Jia, W. Zhang, et al. Beta-blockers versus corticosteroids in the treatment of infantile hemangioma: an evidence-based systematic review World J Pediatr, 9 (2013), pp. 221-229

2 Y. Chen, N. Bai, J. Bi, et al. Propranolol inhibits the proliferation, migration and tube formation of hemangioma cells through HIF-1α dependent mechanisms Braz J Med Biol Res, 50 (2017), p. e6138

3 P. Kumar, D. Kaushal, P.K. Garg, et al. Subglottic hemangioma masquerading as croup and treated successfully with oral propranolol Lung India, 36 (2019), p. 233

4 C Léauté-Labrèze, E de la Roque Dumas, T Hubiche, et al. Propranolol for severe hemangiomas of infancy.(Letter to the editor) N Engl J Med, 358 (2008), pp. 2649-2651

5 M. Porubanova, A. Sharashidze, J. Hornova, et al. β-blockers in the treatment of periocular infantile capillary haemangioma Neoplasma, 62 (2015), pp. 974-979
 

602681030e88251c4b4de1ce rba Articles
Links & Downloads

Rev. Bras. Anestesiol.

Share this page
Page Sections