Pediatric Vascular Tumors of the Head and Neck

Bouchard, Carl; Troulis, Maria J.

doi:10.1016/j.coms.2015.07.010

Cited by 11 publications

(8 citation statements)

References 57 publications

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“…No RCCTs were found. General information and characteristics of the included articles are described in Table 1 (4)(5)(6)(10)(11)(12)(13)(14)(15)(16)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). After the analysis of the included articles, we identified three fundamental themes associated to the management of pediatric oral hemangiomas: (i) clinical characteristics, differential diagnosis, and histopathological findings; (ii) evolution and complications; and (iii) current available treatment modalities.…”

Section: Resultsmentioning

confidence: 99%

“…According to Tanwar et al (33), diascopy can determine whether the color of a lesion is due to blood present in the vessels (as in HEM) or to extravasated blood present in the tissues: the former case will blanch on pressure and the later will not. However, in problematic identification cases, diagnosis of HEM should be confirmed through imaging methods such as Doppler ultrasound, magnetic resonance imaging, or angiography (13,25). When HEMs are in the deeper dermis, they are manifested as a slight discoloration of the overlying skin (21).…”

Section: Discussionmentioning

confidence: 99%

“…In the present scoping review, seven articles (7,12,26,27,34,37,38) were identified in which a histopathological or microscopic evaluation was performed; all of them were clinical cases on pediatric oral HEM, particularly the capillary type. According to different authors (4,23,37), HEMs may present a spectrum of histopathological findings, consisting in general of hyperplastic endothelial cells exhibiting increased mitotic activity (13). In their simplest classification, HEMs are classified into three types: capillary, cavernous (largevessel), and mixed, according to the size of vascular spaces.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the early surgical intervention is indicated if the HEM appearance has not changed after two years or when the tumor has not responded to nonsurgical therapies. Surgery is also necessary for removing residual fibrofatty tissue and contour defects after the natural involution of HEMs (13,15). The management of oral hemangiomas does not always fall within the scope of the pediatric dentistry field.…”

Section: Discussionmentioning

confidence: 99%

“…It is observed more frequently in the lips, oral mucosa, cheek, tongue, palatal mucosa, salivary glands, and mandibular bone; and in the skin of the head, face, and neck (12). It has an incidence between 3% and 10% by the age of one year (13). The condition is more common in premature low-birth-weight infants (< than 1000 g), decreasing gestational age, in white female children, and in twins (9); other related risk factors are multiple gestation pregnancy, gestational hypertension, placenta previa, preeclampsia, chronic villus sampling, and antenatal vaginal bleeding (4,14).…”

Section: Introductionmentioning

confidence: 99%

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Management of the oral hemangiomas in infants and children: Scoping review

Barrón-Peña

Ma²,

Benítez-Cárdenas³

et al. 2020

Med Oral

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Background: Pediatric oral hemangiomas are benign vascular tumors that can be seen from birth, particularly in females. Hemangiomas are most frequent located in the lips and usually regress spontaneously, thus they do not require any type of treatment in most cases. The present scoping review pretended to synthesize the most relevant and currently available information from the international dental literature published in the last 25 years, regarding the management of pediatric oral hemangiomas. Material and Methods: An exhaustive literature search was performed in four electronic databases (PubMed, Embase, Google Scholar, and Cochrane). Initially, 241 related titles and abstracts were found. After the duplication removal, screening, and assessment processes, 37 records were included for full-text reading. Finally, 20 articles in the English language were included in the scoping review for data extraction and assessment. Results: We identified and subsequently discussed three fundamental issues associated to the management of pediatric oral hemangiomas: (i) clinical characteristics, differential diagnosis, and histopathological findings; (ii) evolution and complications; and (iii) current available treatment modalities. Conclusions: Although these like-tumor lesions are uncommon, pediatric dentistry practitioners must be familiar with the inherent clinical characteristics, diagnosis approaches, and currently available treatment options. Nowadays, surgical removal and non-invasive medical/pharmacologic therapies are the best management modalities for pediatric oral hemangiomas.

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