Intraoral Hemangioma Research Articles

Intraoral Hemangioma: An Overview of the Recent Advances

Hemangiomas are common tumors that exhibit a rapid increase in the number of blood vessels when analyzed microscopically. Hemangiomas are frequently seen since the birth of the infant and possibly enlarge with age. They most likely have developmental rather than malignant roots. Oral hemangiomas are still clinically relevant to the specialist dentist and will require proper clinical treatment regardless of their benign origin and behavior. Nowadays, physical examination, auxiliary inspection, and clinical history serve as the main pillars of diagnosis. Priority should be given in hemangioma treatment to functional harm brought on by the treatment, which may lead to a worsening of the patient’s current condition and may pose a threat to the patient’s life. This shows that early diagnosis, identification, and referral to specialists are critical steps in reducing associated problems and improving prognosis. Surgery and other forms of treatment have a greater rate of morbidity, recurrence, and complications and are not always effective. Oral propranolol is still a widely used first-line medication. Oral propranolol is still a widely used first-line medication, nevertheless. Together with a review of related literature, the main focus of this study will be on the recent changes and modifications being made to ensure accurate diagnosis.

Large hemangioma of the tongue

Hemangiomas are the most common benign vascular tumours, often reported in very young. Though the head and neck regions have high predilection, intra-oral hemangiomas (IH) are very rare. In spite of numerous treatment options, the IH are ideal candidates for surgical exoneration. The reasons for this are manifold. This manuscript intends to present a case of IH arising in the tongue along with subsequent macroglossia. The treatment and surgical strategy based on cardinal principles of macroglossia corrections are described. A note on the challenges associated with treatment is presented.

Dye laser and long-pulsed Nd: YAG laser treatment of vascular lesions: Clinical experience

Introduction: Hemangiomas and vascular malformations are common vascular lesions. Although various methods have been described in the treatment of vascular lesions, the place of lasers is very important. Today, dye laser and Nd: YAG lasers are most commonly used in the laser treatment of vascular lesions. Materials and Methods: A total of 137 patients treated with 585–600 nm flashlamp pulsed dye laser and 1064-nm long-pulsed Nd: YAG laser in three laser units were searched, and laser setups and the number of sessions used were evaluated. Evaluations were made by three plastic surgeons over photographs. According to the discoloration and decrease in height of the lesion, it was classified as 0%–25% (poor), 25–50 (average), 50–75 (good), and 75–100 (excellent). The age of the patients ranged from 2 months to 55 years. 53 port-wine stain, 18 telangiectasia, 8 cherry angioma, 12 spider angioma, 18 hemangioma, 8 venous lake, 11 intraoral hemangioma, and 9 other vascular lesions constituted the distribution of diagnoses between patients. Laser power used in dye laser treatments ranged between 7 and 19 J/cm2, the mean sequence was 6.4, and duration ranged between 1.5 and 20 msec. Nd:YAG l laser power ranged between 120 and 240 J/cm2, the mean sequence was 2.8, and duration ranged between 10 and 50 msec. Results: Seventy patients (51.1%) achieved excellent results, 32 patients (23.36%) achieved good results, 14 patients (10.21%) achieved average clearance, and 21 patients (15.33%) showed low or no removal of their lesion. High success was achieved with minimal complications. Conclusion: Today, dye laser and Nd: YAG lasers provide a satisfactory aesthetic result, low morbidity, and effective treatment for many vascular lesions in terms of patient comfort. In order to optimize results and reduce negative effects, it is necessary to master the properties of the laser and have sufficient knowledge of the interactions of the laser with tissue.

Sclerosing Therapy for Small Intraoral Hemangiomas with Monoethanolamine Oleate: Four Successful Cases

Monoethanolamine oleate (Ethamolin) is commonly used in medicine in sclerosing therapy for small varicose veins. The drug acts by irritating the intimal endothelium of the vein leading to a dose-dependent sterile inflammatory response, which results in fibrosis of vessel walls. Hemangiomas are benign vascular lesions that may appear at birth, in childhood, or in adult life, sometimes occurring in the oral cavity. Endothelial cell proliferation and angiogenesis are the histopathological features of these lesions. One of the possible treatments for hemangiomas is the intralesional application of sclerosing agents to induce fibrosis of the vessels and regression of the lesions. The goal of this study was to report 4 cases of intraoral hemangiomas that occurred at different locations and produced satisfactory results with the application of Ethamolin. The clinical features, treatment protocols, and follow-up of the cases are discussed.

Sclerotheraphy of Superficial Intraoral Hemangioma: A Case Report with Reviews

Hemangiomas are common benign neoplasm due to proliferation of blood vessels. The treatment modalities of Hemangioma are varied from Intralesional and systemic corticosteroid treatment to surgical excision, thermocauterization, laser photocoagulation and sclerotherapy. However, each treatment has its own risks and benefits. Use of sclerosing solution is the most convenient, effective and inexpensive treatment modalities especially in oral and peri-oral hemangioma lesions. Here presenting a case report of right upper lip Hemangioma successfully treated with multiple local injections of 3% sodium tetradecyl solution with their prognosis.

Diagnostic Conundrum: Capillary Hemangioma or Pyogenic Granuloma

Pyogenic granulomas and hemangiomas of oral cavity are well-known benign soft tissue lesions. Though pyogenic granuloma is known to occur most commonly on the gingiva and capillary hemangioma on lips, cheek and tongue, occurrence of these lesions on buccal mucosa is rare. It makes clinical diagnosis quite challenging because of such an uncommon location, as they sometimes may mimic more serious lesions such as malignancies. An excisional biopsy was performed under local anaesthesia and excised growth was sent for histopathological examination. This case report presents a case of soft tissue exophytic mass present on the buccal mucosa which was initially thought to be a pyogenic granuloma clinically and turned out to be capillary hemangioma on histopathological examination. In spite of their benign nature, intraoral capillary hemangiomas are always clinically important to be diagnosed well in time and should be managed accordingly.

Portwine stain with nodular thickening and intraoral hemangioma

Vascular anomalies are a heterogeneous group of congenital blood vessel disorders more typically referred to as “birthmarks.” They are further categorized into vascular tumors and malformations, which are again subdivided into various types based on specific morphology, pathophysiology, clinical behavior and management of particular entity. Hemangiomas are the most common vascular tumors. Lymphatic, capillary, venous and arteriovenous malformations are the main subdivisions under the heading of vascular malformations. This paper discusses a case of co-occurrence of portwine stain with intraoral hemangioma.

Central Hemangioma of The Maxilla– A Rare Case Report

The Central hemangioma of the jaws is a rare lesion representing only 0.8% of 120 intra-oral hemangiomas. Central haemangioma, defined as the “great mimicker” is a benign endothelial cell hamartoma that appears in infancy and has a natural history of proliferation and involution. Handley in 1981 reported that about 56% of the cases occurred in the head and neck region. As it most commonly occurs in the vertebrae and skull, it rarely develops in jaw where it is most commonly seen in the mandible than the maxilla. We report a rare case of 22 years female patient with central hemangioma of the posterior maxilla with emphasis on review of literature and treatment modalities.

Tooth enamel hypoplasia in PHACE syndrome.

Individuals with PHACE syndrome (posterior fossa malformations, hemangiomas, arterial anomalies, cardiac defects, eye abnormalities, sternal cleft, and supraumbilical raphe syndrome) have reported dental abnormalities to their healthcare providers and in online forums, but dental involvement has not been comprehensively studied. A study was conducted at the third PHACE Family Conference, held in Milwaukee, Wisconsin, in July 2012. A pediatric dentist examined subjects at enrollment. Eighteen subjects were enrolled. The median age was 4.2years (range 9mos-9yrs; 14 girls, 4 boys). Eleven of 18 patients had intraoral hemangiomas and five of these (50%) had hypomature enamel hypoplasia. None of the seven patients without intraoral hemangiomas had enamel hypoplasia. No other dental abnormalities were seen. Enamel hypoplasia may be a feature of PHACE syndrome when an intraoral hemangioma is present. Enamel hypoplasia increases the risk of caries, and clinicians should refer children with PHACE syndrome to a pediatric dentist by 1year of age.

Intraoral hemangiomas in Sturge-Weber syndrome

Sturge-Weber syndrome is a rare congenital disease also called as encephalo-trigeminal-angiomatosis, caused by persistence of transitory primordial arterio-venous connections of fetal intracranial vasculature. It is characterized by vascular malformations with capillary venous angiomas that involve face, choroid of eye, and leptomeninges. The main clinical features of this syndrome are port-wine stains, glaucoma, convulsions and angiomas of the airway. Anesthesia management is directed towards keeping the intracranial and intraocular pressures normal, avoiding trauma to hemangiomas, and anticipating difficult airway. We discuss the case of a 13-year-old boy with intraoral hemangiomas resulting in difficulty in speech. Patient was scheduled for digital subtraction angiography (DSA) and sclerotherapy of hemangiomas under general anesthesia. The anesthetic considerations during the peri-operative management, including airway problems, multiple changes in patient position during DSA procedure, precautions during use of radio-contrast media and sclerosing agents are highlighted.

Hemostatic Effect of the CO2Laser Over Excision of an Intraoral Hemangioma

Hemangiomas are benign vascular tumors of the endothelial cells and characterized by increased number of normal or abnormal vessels filled with blood. Most true hemangiomas involute with time, but a certain small percentage does not, which may present with complications that require treatment. An estimated 10 to 20% of the true hemangiomas incompletely involute and require ablative treatment. Hemangiomas are probably one of the most underestimated and misunderstood vascular tumors and it is every diagnostician and clinician’s imperative to have a sound knowledge of these tumors to thus provide successful treatment to the patients. Conventional surgical excision of hemangioma can cause severe bleeding in the operative site, which on the other hand can be well controlled by the coagulative effect of the CO2 laser, by virtue of a painless vaporization of the tissue. The purpose of this case study is to understand hemangiomas and the importance and efficacy of the minimally invasive, hemostatic effect of a CO2 and little postoperative scarring and morbidity in comparison to the conventional surgical techniques.

Pedunculated Hemangioma of Hard Palate treated by Feeder Vessel Ligation

Intraoral hemangiomas are benign proliferations of blood vessels in the mucosal region, which can cause extensive bleeding during excision by conventional surgical methods. Intraoral hemangiomas are uncommon, usually seen on the lips, buccal mucosa and lateral borders of the tongue. Treatment modalities that are advocated for treating hemangiomas include sclerotherapy, embolization, laser and cryosurgery. In this case report, we present a case of pedunculated hemangioma of the hard palate in a 28-year-old female patient treated by ligation of the feeder vessel.

Intraoral Papillary Hemangioma: Case Report and Review of the Literature

Intraoral Papillary Hemangioma: Case Report and Review of the Literature

Intraoral Papillary Hemangioma: Case Report and Review of the Literature

Intraoral Papillary Hemangioma: Case Report and Review of the Literature

Treatment of intraoral hemangioma with a sclerosing agent: report of a case

Treatment of intraoral hemangioma with a sclerosing agent: report of a case

Treatment of intraoral hemangiomas with nitrous oxide cryosurgery

Abstract Nitrous oxide cyrosurgery, when applied efficiently, is shown to be both effective and consistent in the management of hemangiomas of the oral cavity. Continued use of this treatment modality is indicated.

Treatment of intraoral hemangiomas with nitrous oxide cryosurgery

Nitrous oxide cyrosurgery, when applied efficiently, is shown to be both effective and consistent in the management of hemangiomas of the oral cavity. Continued use of this treatment modality is indicated.

The use of cryotherapy in the management of intra-oral hemangiomas

The use of cryotherapy in the management of intra-oral hemangiomas

The use of cryotherapy in the management of intra-oral hemangiomas.

The use of cryotherapy in the management of intra-oral hemangiomas.

The Sturge-Weber syndrome

We have presented a case of Sturge-Weber syndrome which was very bizarre as far as the intraoral hemangioma was concerned. Among the major and minor symptoms of the disease, this patient had convulsions up to the age of 7 years, a very distinct nevus flammeus, electroencephalographic abnormalities, and, of course, the hemangioma. His schoolteacher here at the hospital says that he is of average intelligence. Sclerosing is a very slow method of treatment, but we believe that it is the safest and gives the best prognosis. Looking back to 1963, when the patient first came to us, we wish that we had started sclerosing the hemangioma along with the radiation therapy. In that way, we might have prevented the hemangioma's bizarre growth. The injections will continue, and if the outcome is such that the tumor can be removed by electrocautery or a minor surgical procedure, we think that we will have accomplished a great deal. By being patient, we will prevent the boy's being left with a facial deformity.