Evidence map›Paper›PMID 38807073›Full record

ArticleBMC pediatrics2024

Practical surgical technique using the SMISS approach for lip reduction in involuted lip infantile hemangiomas.

Qianyi Chen, Shih-Jen Chang, Wei Gao, Lei Chang, Yajing Qiu, Xiaoxi Lin

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Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qianyi Chen *Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China.
Shih-Jen Chang *Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China.
Wei GaoDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China.
Lei ChangDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China.
Yajing Qiu *Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China.
Xiaoxi LinDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Zhizaoju Road, Shanghai, 200011, China. linxiaoxi@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLip infantile hemangiomas tend to show less volumetric regression and are more susceptible to visible sequelae in the involuted stage. Some of them still require surgical management after propranolol therapy. This study aimed to evaluate the efficacy and safety of the Stepwise, Multi-Incisional, and Single-Stage (SMISS) approach applied to lip reduction for those with involuted lip hemangiomas.

methodsA retrospective review was performed to evaluate patients with lip hemangioma who received previous propranolol treatment and underwent the aforementioned procedure. Demographic characteristics, lesion morphology, and medical history were reviewed. The Visual Analog Scale was applied to assess the postoperative appearance. Complications within 12 months postoperatively were recorded.

resultsA total of 18 patients with lip hemangioma were eligible. All patients received oral propranolol therapy before surgery, with treatment duration ranging from 6.0 to 23.0 months. Their age at surgery ranged from 2.5 to 9.0 years. The median Visual Analog Scale scores were 8.0, ranging from 4.0 to 10.0. No severe complications were reported.

conclusionsThis modified technique based on the SMISS approach has proven reliable and effective in improving the aesthetic outcome for involuted lip infantile hemangiomas. Practical surgical techniques still play an important part in the propranolol era.

Indexed as

HemangiomaLip NeoplasmsPropranololChildChild, PreschoolFemaleHumansInfantLipLipomaMaleRetrospective StudiesTreatment OutcomePropranololFacial surgical procedureInfantile hemangiomaLip hemangiomaLip reductionPropranolol

Identifiers

PMID38807073
PMCPMC11131259

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