What is the treatment for infantile upper eyelid hemangiomas?

Patient: Hello, Dr. Zhang! Our baby has seen you before, it is a hemangioma on the inner side of the upper eyelid, you advocate the treatment with paxillin injection, I have the following two questions to consult for peace of mind: 1, I found on the Internet that paxillin injection in the eyelid will lead to eyelid opening weakness, is it true? Is there any way to avoid it? 2.According to the Internet, children taking antibiotics may cause vitamin K deficiency in the body, and vitamin K deficiency is prone to cause intracranial hemorrhage. Is pingyangmycin an antibiotic? If so, is there any corresponding attention measures when using it? Thank you! Zhang Jing, Interventional Therapy Department, Guangzhou Children’s Hospital: What you are talking about is a complication caused by excessive injection, most of our cases will not have this problem and antibiotics are different, and only intermittent injection once, will not have the problem you mentioned. Patient: Thank you, Dr. Zhang, I have one more question: I’ve been looking around for the disease, and I recently learned that a friend’s child had the same case, and he also went to Guangzhou Children’s Hospital to see a doctor who suggested using pingyangmycin injections, but the doctor said that it could be cured, but it would leave scars, so may I ask if our baby will also have scars after the treatment? Will our baby have a scar after treatment? If so, how serious will the scar be? Zhang Jing, Department of Interventional Therapy, Guangzhou Children’s Hospital: Very few children I’ve seen have scars. Patient: Hello, Dr. Zhang! My baby was injected at your place on the 12th (bed 22 Ye Chenxi) and was discharged from the hospital on the 14th. On the 17th, he needed to take the vaccination (the name of the vaccination is “Polio” and “Pepsin”) due to the completion of three months, may I ask whether this vaccination is compatible with the medication used for the surgery or anesthesia? Is there any difference between this vaccination and the medication used for surgery or anesthesia? Should we go for the vaccination as usual or postpone it appropriately? In addition, when I observed the baby’s eye today, the redness has receded a bit and the color has returned to normal but the tumor is still swollen. Will the swelling go down and make the tumor smaller again? Thank you! Zhang Jing, Department of Interventional Therapy, Guangzhou Children’s Hospital: Normal injection. It is normal for the tumor to swell about a week after the injection. It is normal that the swelling will subside in about 1-2 weeks. Patient: Hello, Dr. Zhang! My son (previously 22 bed Ye Chenxi) on the 12th in your injection, you said two weeks after the review, to this Thursday will be exactly two weeks, may I ask whether to go on Thursday or have to wait for you to go out of the clinic time to go? If I need to go during your clinic hours, I have something to do this Saturday, is it okay to go on Monday? Is it too late? Zhang Jing, Department of Interventional Medicine, Guangzhou Children’s Hospital: It’s okay to come next Monday for a review. Patient: Hello, Dr. Zhang! Our baby was hospitalized for the first time for surgery and injection treatment, and the result was very good, and the tumor has shrunk significantly. When we went for follow-up on Monday, you personally gave us the second injection (without anesthesia), and after the injection, only the area near the eye of the needle was red, and the tumor did not turn red, which was different from the first injection (the tumor was very red when the first injection was given). Today is the third day, and the redness near the eye of the needle has disappeared, but I feel that the hemangioma seems to be more swollen, so is it possible that it may be a case of malignant growth? Is it possible that the tumor is growing malignantly? Do I need to take any measures in time? I am looking forward to your advice! Also, I would like to ask if the continuous injections have the effect of shrinking the tumor to a smaller size? Or is it just to control the growth of the tumor? Is it possible that the tumor will grow again if the injections are stopped? Thank you for your reply! Zhang Jing, Department of Interventional Therapy, Guangzhou Children’s Hospital: Generally, the tumor will increase in size after injection, which is a normal reaction. Patient: Thank you very much, Dr. Zhang! You said that the hemangioma will be stabilized after the baby is 6 months old. My son is now 6 months old, and the hemangioma in his eyes did not grow after your treatment, and as he grows up, the contour of his face and his eyes become bigger, and the proportion of the tumor becomes smaller accordingly, and his two eyes are getting more and more proportional now. You are our savior, our whole family is very grateful to you, you are a good doctor for the benefit of the people! I don’t know how to express my gratitude, but I can only pray for you silently in my heart that good people will have a safe life! I wish you and your family happiness and well-being forever! Zhang Jing, Department of Interventional Therapy, Guangzhou Children’s Hospital: You are too kind, this is what a doctor should do! I wish the child a speedy recovery!