Spontaneous Regression of Orbital and Facial Hemangioma

Case Details

Personal Characteristics

Patient, first seen at four months of age

Clinical Characteristics

The lesion was so large that it caused proptosis, and the cornea was not covered sufficiently to prevent exposure keratitis.

Remission Characteristics

The hemangioma regressed (without any treatment) to such an extent that the globe had receded into the orbit and the lids functioned sufficiently well to protect the cornea. Also, the child appeared to have fusion and good extraocular muscle function in all fields of gaze.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Consultation with the various tumor boards resulted in the opinion that the eyelid should be taped shut during sleep to protect the cornea. It was decided simply to observe the patient to determine whether the hemangioma became worse or better.

Additional Notes

The child was seen two years later in Baja California, while the author was on a trip with the Flying Samaritans. This case might serve to illustrate to apprehensive parents the rewards of patiently awaiting spontaneous regression of a hemangioma in a child.