Anesthetic management of a patient with face hemangioma: case report
Cuidado anestésico de paciente com hemangioma facial: relato de caso
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.
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