EXPERIENCE IN THE TREATMENT OF CHILDREN WITH VASCULAR TUMORS OF THE MAXILLOFACIAL AREA

Abstract

Subject. The article shows the effectiveness of the author's method of treatment of young children with vascular tumors of the maxillofacial area. The variety of the clinical course of vascular tumors, their localization in the maxillofacial area create difficulties and limit the choice of treatment method. The author's method combines high efficiency, minimally invasiveness, reduction of rehabilitation time and minimal adverse reactions. Objective ― evaluation of the experience of treating vascular tumors of the maxillofacial region in children using a combination method - taking propranolol and hardening. Methodology. The results of the treatment of 120 children with vascular tumors of the maxillofacial area aged 2 months to 2 years have been evaluated. Compared the results in 3 groups of children who were treated by various methods: combined - taking propranolol and hardening (FG); propranolol (HS-1); sclerotherapy method (HS-2). The efficacy of treatment was assessed by changing the volume of formation, the diameter of the supply vessels and the values of the linear velocity of blood flow. Results. According to the results of our clinical study, a group of young children with vascular tumors of the maxillofacial area in cosmetically significant areas that received treatment by the author's method, has demonstrated its effectiveness. A significant amount of regression was achieved (2.5 times) compared with the comparison groups. According to the ultrasound, the reduction in the diameter of the supply vessels and the linear velocity of blood flow reached zero after 6 months after the start of treatment, faster than in the comparison groups Conclusions. The use of the combined treatment - taking propranolol and hardening - is effective in treating children with vascular tumors of the maxillofacial area, reduces the treatment time and reduces the risk and degree of complications.