How to treat nasal hemorrhagic angioma?

Written by Li Rui
Otolaryngology
Updated on September 10, 2024
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There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.

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Written by Deng Bang Yu
Otolaryngology
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Is a hemangioma in the nose dangerous?

Nasal hemangiomas are primarily caused by congenital or acquired vascular malformations. The risks associated with them include the following points: First, the vessel walls of hemangiomas are imperfect and prone to bleeding. Excessive bleeding can lead to hemorrhagic shock. Furthermore, significant bleeding can cause blood to flow back into the respiratory tract, leading to coughing fits and even the risk of suffocation. Second, although hemangiomas are benign in nature, a few of them possess the biological characteristic of expansive growth. This characteristic can damage surrounding tissues, such as destroying the wall of the vessel and the structure of the tumor, thereby exhibiting malignant-like biological behavior. Therefore, active treatment is necessary.

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Written by He Zong Quan
General Surgery
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The difference between lipomas and hemangiomas

Lipomas and hemangiomas are not the same disease and are not directly related. Lipomas generally occur in superficial parts of the body, sometimes in the muscle layer. Lipomas typically have a complete capsule and exhibit a lobulated shape. They are usually soft, and patients do not exhibit obvious local symptoms. On the other hand, hemangiomas often occur in solid organs, including liver hemangiomas, spleen hemangiomas, and kidney hemangiomas. Hemangiomas can also appear in superficial areas, such as the skin where they can form strawberry-like lesions, causing discomfort due to their appearance. However, most hemangiomas do not tend to enlarge and are benign, requiring no special treatment.

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Written by Li Rui
Otolaryngology
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How to treat nasal hemorrhagic angioma?

There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.

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Written by Zhou Chen
Oncology
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Can hemangiomas resolve on their own?

Infantile hemangiomas may regress spontaneously in some cases, so for lesions that are relatively stable in growth, temporary observation without treatment is recommended, especially avoiding surgical treatment. Radiation therapy, which may cause secondary developmental deformities, is not recommended. Medicinal treatment mainly involves the use of steroids and interferons. Steroid therapy is the most common drug treatment for hemangiomas, with the first reports of using steroids for hemangiomas appearing in the mid to late 1960s. Since then, prednisone and prednisolone have been considered first-line drugs for treating life-threatening or vision-threatening hemangiomas. The effective rate of steroid treatment for hemangiomas varies from 30% to 90%. Therefore, we suggest that since infantile hemangiomas can regress on their own, lesions that are stable in growth can be temporarily observed.

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Written by Zhang Cui Xiang
Pediatrics
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Best treatment time for infantile hemangioma

The optimal time to treat hemangiomas in infants is generally around the age of one year, as the vascular circulation becomes visible as bright red birthmarks on the baby's body. These types of hemangiomas are cutaneous and can be effectively cured through laser treatment in early childhood. The earlier the treatment is applied, the better the outcome; the effectiveness diminishes over time. If the hemangioma does not affect the infant's appearance and is relatively small, treatment can be postponed. It is advisable to choose the timing of treatment based on the specific circumstances of the infant. If the hemangioma is large, it is recommended to seek timely laser surgery treatment at a reputable tertiary hospital.