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Treatment of Ulceration in the Head and Neck

CPT Roy F. Thomas, MC, USA; Robin L. Hornung, MD, MPH; Scott C. Manning, MD; Jonathan A. Perkins, DO

Arch Facial Plast Surg. 2005;7:312-315.

Ulceration is a common complication of hemangiomas of infancy and presents a therapeutic dilemma for the head and neck–facial plastic surgeon. Multiple therapies are available, further complicating treatment of patients. We review the common characteristics of ulcerated hemangiomas and discuss the treatment modalities available. We present case reports to illustrate management options and a stepwise algorithm for treatment of ulcerated hemangiomas.

Author Affiliations: Otolaryngology Service, Madigan Army Medical Center, Tacoma, Wash (Dr Thomas); Divisions of Dermatology (Dr Hornung) and Pediatric Otolaryngology (Drs Manning and Perkins), Children’s Hospital and Regional Medical Center, Seattle, Wash; and Departments of Pediatrics (Dr Hornung) and Otolaryngology–Head and Neck Surgery (Drs Manning and Perkins), University of Washington School of Medicine, Seattle.