Resection of localized cheek infantile hemangioma in the proliferative phase: a case report


  • I Gusti Ayu Putri Purwanthi Department of Plastic Surgery, Badung Regional General Hospital, Bali, Indonesia
  • Ratna Rayeni Natasha Roosseno Department of Plastic Surgery, Badung Regional General Hospital, Bali, Indonesia



Cheek flap, Hemangioma, Resection


Infantile hemangioma (IH) is the most common vascular tumor which is characterized by proliferative phase, involuting phase, and involuted phase. As the regression will ultimately occur at the end of the phase, the choice of treatment become controversial. Although surgical management often advocated for complicated and conservative therapy failure cases, early resection may give some benefits both to the patients and parents. This case report described a 9-month-old female with cheek IH who underwent tumor resection followed by cheek flap as the procedure to close the defect. After two days post-operation, the patient was discharged from hospital without any complication observed. The surgical scar was favorable in the first month after surgery. Early resection can be established as one of the treatment choices for fast-growing hemangioma in the proliferative phase to avoid undesirable aesthetic sequelae in the future.


Darrow DH, Greene AK, Mancini AJ, Nopper AJ. Diagnosis and management of infantile hemangioma. American Academy Pediatrics. 2015;136(4):e1060-e1104.

Chim H, Gosain AK. Vascular anomalies. In: Thorne CH, Chung KC, Gosain AK, Gurtner GC, Mehrara BJ, Rubin JP, Spear SL, editors. Grabb and Smith’s Plastic Surgery. 7th ed. New York: Lippincott Williams and Wilkins, a Wolters Kluwer Business;2014.

Greenberger S, Bischoff J. Phatogenesis of infantile haemangioma. Br J Dermatol. 2013;169(1):12-9.

Zheng JW, Zhang L, Zhou Q, Mai HM, Wang YA, Fan XD, et al. A practical guide to treatment of infantile hemangiomas of the head and neck. Int J Clin Exp Med. 2013;6(10):851-60.

Putggen KB. Diagnosis and management of infantile hemangiomas. Pediatr Clin N Am. 2014;61:383-402.

Dickison P, Christou E, Wargon O. A prospective study of infantile hemangiomas with a focus on incidence and risk factors. Pediatric Dermatology. 2011;28(6):663-9.

Haggstrom AN, Drolet BA, Baselga E, Chamlin SL, Garzon MC, Horii KA, et al. Prospective study of infantile hemangiomas: demographic, prenatal, and perinatal characteristics. J Pediatr. 2007;150:291-4.

Baharudin A, Samsudin AR, Halim AS, Shafie MA. Surgical management of massive facial hemangioma. Med J Malaysia. 2007;62(3):254-5.

Kim KP, Sim HS, Choi JH, Lee SY, Lee DH, Kim SH. The versatility of cheek rotation flaps. Arch Craniofac Surg. 2016;17(4):190-7.

Boyd VC, Bui D, Naik B, Levy ML, Hicks MJ, Hollier L. Surgery: the treatment of choice for hemangiomas. Semin Plast Surg. 2006;20:163-8.

Mcheik JN, Renauld V, Duport G, Vergnes P, Levard G. Surgical treatment of haemangioma in infant. Brit J Plastic Surg. 2005;58:1067-72.

Sandy-Hodgetts KS, Carville K, Leslie GD. Determining risk factors for surgical wound dehiscence: a literature review. Int Wound J. 2015;12:265-75.

Vlahovic A, Simic R, Kravljanac D. Circular excision and purse-string suture technique in the management of facial hemangiomas. Inter J Pediatric Otorhinolaryngol. 2007;71:1311-15.

Santecchia L, Valassina MFB, Maggiulli F, Spuntarelli G, Vito RD, Zama M. Early Surgical excision of giant congenital hemangiomas of the scalp in newborns: clinical indications and reconstructive aspects. J Cutaneous Med Surg. 2013;17(2):106-13.




How to Cite

Purwanthi, I. G. A. P., & Roosseno, R. R. N. (2018). Resection of localized cheek infantile hemangioma in the proliferative phase: a case report. International Journal of Research in Medical Sciences, 6(10), 3464–3467.



Case Reports