Management of Vascular Malformations in the Oral Cavity: Case Report

Abstract

Vascular anomalies are diverse, and several classifications are available for these anomalies, the most recent and accepted classification is that of the "International Society for the Study of Vascular Anomalies (ISSVA) that was made in 2014 and revised in 2018. It divides vascular anomalies into vascular tumors (including hemangiomas) and vascular malformations. Various treatment modalities are available, including laser therapy, steroid therapy, embolization, blocking therapy, sclerosing therapy, surgery or cryosurgery. This article presents the usefulness of CO2 laser and diode laser for the treatment of vascular anomalies of the oral cavity, while presenting an unusual combination, for the treatment of an oral hemangioma associated with an angiomatous epulis, between sclerotherapy and diode laser. This study not only confirmed the treatment's effectiveness in reducing lesion size and minimizing intraoperative bleeding from the epulis but also highlighted its ability to enhance aesthetic outcomes, patient comfort, and overall satisfaction.