Clinical characteristics, treatment and outcome of 28 oral haemangiomas in paediatric patients

Abstract

Objective: To present a large series of oral haemangiomas in children, analyzing the clinical characteristics, treatment and outcome of oral haemangiomas in 28 children. Material and Methods: We conducted an observational retrospective study, reviewing medical records with clinical diagnosis of haemangioma between 1990 and 2006 at the Children's Maxillofacial Surgery Service of the Hospital Universitario la Fe, Valencia. All patients with a clinical, radiographic, pathologically confirmed diagnosis of oral haemangioma were included. Results: The study included 28 patients (19 females and 9 males) with a mean age of 4.27 years (range 0-14 years). Nine were congenital haemangioma. The most frequent location of oral haemangioma was in the lip with 23 cases, followed by three cases in the tongue and 2 in the buccal mucosa. The mean diameter of the lesion was 1.67 cm (range 1-3cm). The mean duration of the lesion was 6.3 months (range 1 month to 5 years). Of the 28 haemangiomas, 13 were surgically removed, 2 were treated with embolization and 13 disappeared spontaneously. The mean follow up was 2.7 months (1-8 months). There were no cases of recurrence. Conclusions: Haemangiomas usually present in children, and can be seen from birth. They have a predilection for females. They are uncommon in the oral cavity. In the oral region, the most common location is the lip. Most congenital haemangioma regress spontaneously without treatment. The treatment of choice is surgical excision of the lesion.

Lingual Hemanjioma: Olgu Sunumu

“…Hemanjiyomların tedavilerinin ardından nüks edebilecekleri belirtilmiştir (9,13). Bu nedenle cerrahi operasyondan sonra hastalar düzenli aralıklarla kontrollere çağırılmalıdır.…”

“…Hemanjiomlar, baş-boyun bölgesinde daha sık görülmelerine rağmen oral kavitede oldukça nadirdirler. Lingual hemanjiomlar ise hastalarda kozmetik deformite, rekürren hemoraji, konuşma ve çiğneme problemlerine yol açabilirler (9).…”

Surgical Treatment of Tongue Hemangioma with Diode Laser: Case Report

“…2,9 Both trauma and hormonal changes are regarded as significant factors involved in the proliferation of embryonic vascular tissue; however, a congenital theory has been also been put forward based on the high incidence of hemangiomas during the first years of life. 9 In the case presented here, the hemangioma is likely to have developed as a result of repeated mechanical trauma caused by abraded teeth during continuous movement of the tongue toward an edentulous area in the mouth as part of functional movement, thus corroborating the role of trauma in the etiology of these lesions.…”

“…While the majority of hemangiomas are painless, tongue hemangiomas may be a source of distress to patients and their families, not only because they represent a cosmetic deformity, but because of spontaneous hemorrhaging and functional problems related to speaking, deglutition and chewing as well as shortness of breathe secondary to lingual enlargement. 2,4 A range of alternative treatment modalities for the management of head and neck hemangiomas has been proposed, including careful observation, steroid and other drug therapy, fibrosing agents, interferon, radiation, cryosurgery, laser therapy, embolization and surgical excision. 5,6 The issue of when and how to treat hemangiomas remains controversial.…”

Hemangioma capilar versus Granuloma telangiectàsico en cavidad bucal; una ardua labor diagnóstica

“…La tomografía computarizada (TC), la angiografía y la resonancia magnética (RMN) también se puede utilizar para análisis volumétrico y/o estructural de los hemangiomas y otros tumores 6 .…”