Infantile Haemangioma

Chapter 18 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

14 viva questions in this chapter

1. What is it, and how are you thinking about this child?
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2. What is going to happen to it if you do nothing?
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3. Where does it come from? What is the biology?
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4. Do you need any investigations?
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5. Which haemangiomas do you treat, and why?
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6. The lesion is a 6 cm plaque across the left forehead, temple and upper eyelid. What now?
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7. The infant has six small lesions. What do you do?
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8. A 4-month-old with a lip haemangioma that has broken down and is bleeding. Manage it.
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9. You have decided to treat. What do you give, at what dose, and on what evidence?
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10. Talk me through how you would actually start it.
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11. Is there an alternative to propranolol?
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12. The GP has started timolol on a 4 cm segmental cheek lesion. Comment.
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13. When would you operate?
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14. The lesion was fully formed at birth and has not grown. What is it?
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