Mishra Abhishek¹, Maria Anisha², Tiwari Nishidha³ and Mala Mishra⁴

¹Consultant Oral Maxillofacial Surgeon Director, Oramax Dental and Maxillofacial Surgical Centre, Rewa, M.P. India
²Oral Maxillofacial Surgery Bhabha College Bhopal M.P. India
³Pedodontist, Clinic Head, Microsmiles Bangalore, KA, India
⁴Consultant Oral Maxillofacial Pathologist, Oramax Dental and Maxillofacial Surgical Centre, Rewa, M.P. India

*Corresponding Author: Tiwari Nishidha, Pedodontics, Clinic Head, Microsmiles Bangalore, KA, India.

Received: May 05, 2024; Published: June 05, 2024

Abstract

Maxillofacial vascular anomalies pose a significant challenge in diagnosis and treatment, particularly concerning hemangiomas, which are prevalent in the head and neck region, with the lips, tongue, buccal mucosa, and palate most commonly involved (more than 50% of lesions). While typically identified in infancy, adult-onset and intramuscular hemangiomas are even more rare occurrences, necessitating careful management to prevent functional or aesthetic complications. We present a case series of seven patients with deep or cavernous hemangiomas on the tongue, successfully treated with 1% sodium tetradecyl sulphate. This non-surgical approach offers a promising alternative to invasive procedures, potentially reducing the need for extensive surgical interventions and ensuring favorable outcomes for patients.
Vascular anomalies are one of the most difficult diagnostic and therapeutic enigma in the maxillofacial region. Hemangiomas are developmental vascular abnormalities and more than 50% of these lesions occur in the head and neck region, with the lips, tongue, buccal mucosa, and palate most commonly involved. Most vascular anomalies are noticed at birth or occur during infancy, and generally involve skin or subcutaneous soft tissues. Adult onset hemangiomas are rare, and intramuscular location is extremely rare. Despite its benign origin and behaviour, it is always of clinical importance to the dental professionals and requires appropriate management as it may lead to an early or continuous loss of function or lifetime esthetic impairment.
Here we present a case series of 7 patients presenting with deep or cavernous hemangioma on tongue treated with 1% sodium tetradecyl sulphate with successful remission of the lesion. Usually such patients require surgical removal of the lesion. But in consideration to the massive surgical procedure, this therapeutic approach may reduce the chances of the surgical requirement.

Keywords: Cavernous Hemangioma; Tongue; 3% Sodium Tetradecyl Sulphate; Vascular Anamolies

References

1. Çalifianeller T., et al. “Cavernous Hemangioma of temporalis muscle: Report of a case and review of the literature”. Turkish Neurosurgery1 (2007): 33-36.
2. Karasu HA., et al. “Cryosurgery of a huge hemangioma of tongue: A case report”. Journal of Oral Health and Community Dentistry 3 (2010): 83-87.
3. Alami B and Lamrani Y. “Presumptive intramuscular hemangioma of the masseter muscle”. American Journal of Case Reports 16 (2015): 16-19.
4. Nair AB., et al. “Intramuscular haemangioma of mylohyoid muscle: A case report”. Indian Journal of Surgery 1 (2010): 344-346.
5. He H., et al. “Adult primary retroperitoneal cavernous hemangioma: a case report”. World Journal of Surgical Oncology 10 (2012): 261.
6. Hashemipour MA. “Rare cavernous haemangioma of the oral cavity with numerous phleboliths”. Journal of Oral Health and Oral Epidemiology 1 (2012): 46-51.
7. Gill JS., et al. “Oral haemangioma”. Case Reports in Medicine (2012).
8. Dilsiz A., et al. “Capillary hemangioma as a rare benign tumor of the oral cavity: a case report”. Cases Journal 2 (2009): 8622.
9. Thomasa R., et al. “Cavernous hemangioma of The Uvula-A Case Report”. Sri Ramachandra Journal of Medicine1 (2009): 36-37.
10. Jin SG., et al. “A case of subcutaneous hemangioma presenting as a preauricular sinus”. Korean Journal of Audiology 17 (2013): 32-34.
11. Beham A and Fletcher CD. “Intramuscular angioma: a clinicopathological analysis of 74 cases”. Histopathology 18 (1991): 53-59.
12. Kishore S. “A rare case of cavernous hemangioma in the tonsil”. RJPBCS 2 (2014): 1962-1965.
13. Donnelly LF., et al. “Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic”. American Journal of Roentgenology 3 (2000): 597-608.
14. Okoji VN., et al. “Intra‑tumoral ligation and the injection of sclerosant in the treatment of lingual cavernous hemangioma”. Nigerian Journal of Medicine 20 (2011): 172‑175.
15. Neville BW., et al. “Oral and Maxillofacial Pathology, 2^nd edition”. Philadelphia, WB Saunders (2002).
16. Avila ED., et al. “Lip Cavernous hemangioma in a young child”. Brazilian Dental Journal 21 (2010): 370‑374.
17. Bonet-Coloma C., et al. “Clinical characteristics, treatment and outcome of 28 oral hemangiomas in pediatric patients”. Medicina Oral, Patologia Oral, Cirugia Bucal 16 (2011): e19‑22.
18. Slaba S., et al. “Giant venous malformation of the tongue: The value of surgiflo”. Journal des Maladies Vasculaires 35 (2010): 197‑201.
19. Rawal YB., et al. “A nodular submental mass”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 6 (2007): 734-737.
20. Alakailly X., et al. “The Use of Sodium Tetradecyl Sulphate for the Treatment of Venous Malformations of the Head and Neck”. Journal of Maxillofacial and Oral Surgery 2 (2015): 332-338.
21. Choi B., et al. “Utility of sodium tetradecyl sulphate sclerotherapy from benign oral vascular lesion”. Maxillofacial Plastic and Reconstructive Surgery 38 (2016): 44.
22. Kutluhan A., et al. “The treatment of tongue hemangioma by plasma knife surgery”. Singapore Medical Journal 49 (2008): e312‑314.

Citation

Citation: Tiwari Nishidha., et al. “Addressing Maxillofacial Vascular Anomalies: A Case Series on Deep Hemangiomas of the Tongue Treated with Sodium Tetradecyl Sulphate".Acta Scientific Dental Sciences 8.7 (2024): 06-11.

Copyright

Copyright: Tiwari Nishidha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.