Background: A validated scale is needed for objective and reproducible comparisons of marionette lines before and after treatment in clinical studies.
Objective: To describe the development and validation of a 5-point photonumeric marionette lines scale.
Methods: The scale was developed to include an assessment guide, verbal descriptors, and real and morphed subject images for each scale grade.
Infantile hemangiomas (IH) complicated by ulceration, disfigurement, functional impairment or life-threatening conditions need early, safe and effective treatment. This study explores the impact of propranolol on complicated IH. We report our experience of 62 patients treated with oral propranolol for complicated IH.
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