Early surgical intervention as definitive treatment for ocular adnexal XXXX .

@entity940 @entity1 @entity227 @entity5 @entity2478 @entity3491 @entity9340 @entity230 @entity1736 @entity4457
BACKGROUND: @entity2478 is the most common @entity5 of childhood, with a prevalence ranging from 1 to 3%. Periorbital haemangiomas can cause @entity4457 secondary to @entity9340 , induced @entity940 , strabismus or occlusion of the @entity227 . Oral and intralesional @entity230 are considered to be the most accepted form of primary treatment. The authors have been performing early surgery as definitive treatment in selected lesions and believe it has an important role. METHODS: A retrospective chart review of 17 @entity1 (2-20 months old) seen between 1996 and 2002 was carried out. Indications for surgery in the present series were @entity940 , rapid growth, @entity4457 and obscuration of the @entity227 . Thirteen were treated primarily with surgery and the other four were treated with other methods prior to considering surgery. Preoperative computed tomography scans were obtained when indicated. RESULTS: Fourteen lesions were completely excised; residual tissue was deliberately left in order to preserve vital structures in three cases. No major surgical complications were noted. One @entity1 with residual tissue after surgery, who had proliferation of the remaining tissue, developed @entity4457 and @entity1736 . One @entity1 had a mild @entity1736 postoperatively that resolved after 6 months. Follow up was for an average 11.1 months. CONCLUSIONS: Early surgical intervention should be considered in a multidisciplinary team approach as a primary treatment option with selected, @entity3491 , without a significant cutaneous component. Surgery is a safe, effective treatment for selected lesions, provides a definitive early treatment, and prevents @entity940 and occlusion-related @entity4457 .
