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An infantile hemangioma (IH), sometimes called a strawberry mark due to appearance, is a type of benign vascular tumor or anomaly that affects babies. [1] [2] Other names include capillary hemangioma, [6] "strawberry hemangioma", [7]: 593 strawberry birthmark [8] and strawberry nevus.
When the vacuum is applied to the infant's head, the tension creates a difference in pressure between the atmosphere and the infant's scalp that causes the soft tissue layers of the scalp to fill inside the suction cup. [5] [6] Subsequently, interstitial fluid and small hemorrhages build up, causing the head to swell and forming a localized edema.
In some cases, there are some cysts remain after the surgery called the residual cysts and most of them arise from a periapical cyst. Glandular odontogenic cysts tend to recur after curettage. [11] The radicular cyst is the most common type of cyst(65-70%) followed by dentigerous(15-18%). [12]
The majority of neonatal cases (90%) result from applying a vacuum to the head at delivery (ventouse-assisted delivery). The vacuum assist ruptures the emissary veins (i.e., connections between dural sinus and scalp veins) leading to accumulation of blood under the aponeurosis of the scalp muscle and superficial to the periosteum.
A common sign is a neck growth. It may be found at birth, or discovered later in an infant after an upper respiratory tract infection. [8] Cystic hygromas can grow very large and may affect breathing and swallowing. Some symptoms may include a mass or lump in the mouth, neck, cheek, or tongue. It feels like a large, fluid-filled sac.
The person performing the surgery will squeeze out the contents of the cyst, then use blunt-headed scissors or another instrument to hold the incision wide open while using fingers or forceps to try to remove the cyst wall intact. If the cyst wall can be removed in one piece, the "cure rate" is 100%.
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Smaller (less than 0.5 cm) raised soft tissue bumps may be termed papules. [3] The evaluation of a skin nodule includes a description of its appearance, its location, how it feels to touch and any associated symptoms which may give clues to an underlying medical condition. [4] Nodules in skin include dermatofibroma [5] and pyogenic granuloma. [6]