J Oral Med Pain.  2023 Dec;48(4):169-173. 10.14476/jomp.2023.48.4.169.

Treatment of Central Hemangioma with Embolization in the Mandible

• Choi HI
• Kim GY
• Shin DH
• Oh JS
• Moon SY
• You JS
• Ryu JW

• KMID: 2552114
• DOI: http://doi.org/10.14476/jomp.2023.48.4.169

Abstract

Hemangioma is a lesion characterized by vascular proliferation of endothelial origin, manifesting neoplastic features. The occurrence of central hemangioma in the oral and maxillofacial region is exceptionally rare, and in two-thirds of cases, it is predominant in the mandible rather than the maxilla. The main symptoms and signs associated with central hemangiomas include pulsation, bone expansion, bruit, teeth displacement, and root resorption of the adjacent teeth. Bleeding may manifest periodically from the sulcus surrounding the affected teeth, particularly when accompanied by hypermobility in the primary dentition. One of the most noteworthy complications is the potential for severe bleeding during tooth extraction or surgical procedures conducted in proximity to unrecognized hemangiomas. Such situations may pose a life-threatening risk. Taking this into consideration, we present two cases of central hemangiomas in adolescent patients who sought consultation, with subsequent embolization performed by the Department of Radiology in Chosun University Hospital.

Keyword

Adolescent; Emobolization; Hemangioma; Mandible