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Diagnostic challenge and management of intraosseous mandibular hemangiomas: a case report and literature review

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2021, v.47 no.4, pp.321-326
https://doi.org/10.5125/jkaoms.2021.47.4.321
Jorge Maria Isabel Sánchez (Department of Oral Surgery and Oral Implantology, Faculty of Dentistry, University Alfonso X el Sabio, Spain)
Brinkmann Jorge Cortés-Bretón (Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Spain)
Corchón Aranzazu González (Department of Oral Surgery and Oral Implantology, Faculty of Dentistry, University Alfonso X el Sabio, SpainDepartment of Oral and Maxillofacial Surgery, Hospital Clínico San Carlos, Madrid, Spain)
Ocaña Rosa Acevedo (Department of Oral Surgery and Oral Implantology, Faculty of Dentistry, University Alfonso X el Sabio, Spain)

Abstract

Hemangioma is a benign tumor characterized by the proliferation of blood vessels. Although it often appears in soft tissues, its occurrence in bone tissue, particularly the mandible, is extremely rare. A 32-year-old female sought attention at the dental clinic complaining of a painless swelling in the posterior region of the left side of the mandible. A panoramic radiograph and computed axial tomography scan were taken, showing honeycomb and sunburst images, respectively, in the affected area. The patient underwent a biopsy, which led to the diagnosis of intraosseous hemangioma. Having assessed the characteristics of the lesion, it was decided to perform complete excision including safety margins, followed by an iliac crest bone graft to reconstruct the mandible. Awareness of the possible clinical and radiographic presentations of intraosseous hemangioma is considered important, as non-diagnosis could have severe consequences given its possible relation to dental structures.

keywords
Hemangioma, Bone, Mandible, Tumors

Journal of the Korean Association of Oral and Maxillofacial Surgeons