Surgical management of oropharynx hemangioma: A comprehensive review literature

Abstract

Background and objectivesHemangioma is an extremely uncommon benign tumor of blood vessels, which occurs mostly during childhood, particularly in the head and neck regions, it remains unusual in the oral cavity and exceedingly rare in the tongue, and larynx. This report recorded a patient's case of cavernous tongue hemangioma and explained how this case was treated and a review of the literature. MethodsReview of the literature with a new case presentation. ResultsHere we report a case of a 49-year-old female patient was referred to our clinic at Rania Medical City Private-Hospital, Iraq country with the complaint of slowly enlarging mass and bleeding. The patient was diagnosed with multiple cavernous hemangioma of the lounge, larynx, pharynx, epiglottis, and lip. The patient was diagnosed by CT-angiography. Treatment consisted of surgical resection. Healing have occurred after 1 month of surgery. From 18 articles we obtained after searching (Google scholar and PubMed), we selected those papers focused on oral cavity, most of the cases were from India between 1961 and 2021, the average age range was 40 yrs. Females constituted the major gender. Dyspnea and swelling accounted for many complaints, especially from varied sides of the tongue and pharynx. Almost all cases have cavernous hemangioma regarding the histological types. Concerning treatment, surgery especially under general anaesthesia were the major. Nevertheless, bleeding was the major recorded complications, otherwise not any other significant complication were seen. Overall, the majority of cases had nearly 1 year of follow-up according to the year of the procedure. Recovering after the procedures were concluded the majority of recorded results. ConclusionThe authors declare that cavernous hemangioma is extremely rare in adults, particularly in oro-pharynx, it needs to be included in the differential diagnosis of oral lesions, and there are many complications post operatively such as hemorrhage, it needs to be followed up to control complications.