Abstract

INTRAMUSCULAR HEMANGIOMAS are common vascular tumors, yet only approximately 14% are found in the head and neck region. 1 Ivey D.M. Delfino J.J. Sclaroff A. et al. Intramuscular hemangioma: Report of a case. Oral Surg Oral Med Oral Pathol. 1980; 50: 295-300 Abstract Full Text PDF PubMed Scopus (20) Google Scholar Invasive muscular hemangiomas are even more uncommon, making up less than 1% of these tumors, and massive cavernous variations are only described anecdotally. 2 Tasker L.J. Geoghegan J. Giant cavernous haemangioma of the tongue. J Anesth. 2005; 60: 1043 Crossref Scopus (4) Google Scholar A unique risk to this lesion is uncontrolled hemorrhage, and several fatalities have been described. 3 Lamberg M.A. Tasanen A. Jääskeläinen J. Fatality from central hemangioma of the mandible. J Oral Surg. 1979; 37: 578-584 PubMed Google Scholar There is no detailed description of airway management in this patient population, and the present case report highlights important considerations in performing safe endotracheal intubation followed by lung isolation.

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