CONSERVATIVE MANAGEMENT OF PEDIATRIC LINGUAL CAVERNOUS HEMANGIOMA WITH POLIDOCANOL SCLEROTHERAPY: A RARE CASE REPORT

Main Article Content

Lav Modh
Shilpi Bhattacharya
Sakshi Kumari

Keywords

Cavernous hemangioma, arteriovenous malformation, polidocanol sclerotherapy, non-surgical treatment

Abstract

Background: Cavernous hemangiomas are infrequent vascular malformations occurring within the oral cavity of pediatric patients. When present on the tongue, these lesions can disrupt essential functions such as articulation, chewing, and swallowing, thereby creating both functional impairments and therapeutic complexities.


Case Presentation: We describe a 12-year-old boy with a cavernous hemangioma on the left side of his tongue, successfully treated with intralesional polidocanol sclerotherapy. This non-surgical approach helped preserve tongue function and led to noticeable improvement of the lesion.


Conclusion: Sclerotherapy with polidocanol is a safe and effective first-line treatment for low-flow vascular malformations in the oral cavity. This report emphasizes the importance of conservative, image-guided management for vascular anomalies in pediatric patients.

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References

1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69(3):412–422.
2. ISSVA Classification for Vascular Anomalies. International Society for the Study of Vascular Anomalies. 2018.
3. Bonet-Coloma C, Mínguez-Martínez I, Palma-Carrió C, et al. Clinical characteristics, treatment and outcome of 24 oral hemangiomas in pediatric patients. Med Oral Patol Oral Cir Bucal. 2011;16(1):e19–22.
4. Avila ÉD, De Molon RS, Conte Neto N, Gabrielli MFR. Oral hemangioma in a child: a case report with emphasis on differential diagnosis. Braz Dent J. 2010;21(4):370– 374.
5. Kamala K, Sanketh DS, Jaishankar HP, Reddy P, Neelakandan RS. Cavernous hemangioma of tongue: a rare case report. Contemp Clin Dent. 2014;5(1):95–98.
6. Kripal K, Raj A, Chakraborty S, Khanna V. Hemangioma of the tongue: a rare case report. Case Rep Dent. 2013;2013:898692.
7. Vohra P, Shrivastava P, Vohra N. Hemangioma of tongue: a rare case report. J Indian Acad Oral Med Radiol. 2015;27(2):228–230.
8. Okoje VN, Omoregie FO, Obuekwe ON. Surgical management of hemangioma of the tongue in a Nigerian tertiary health facility. Niger J Med. 2011;20(1):72–75.
9. Enjolras O, Mulliken JB. The current management of vascular birthmarks. Ann Dermatol Venereol. 1999;126(1):29–40.
10. Yamashita Y, Inoue M, Iwai T, et al. Clinical efficacy of polidocanol sclerotherapy in treating oral hemangiomas. J Oral Maxillofac Surg. 2013;71(3):538–544.
11. Feo CV, Gelsomino G, Sebastiani S, et al. Cavernous hemangioma of the tongue in a pediatric patient: case report. BMC Surg. 2018;18:103.
12. Baer AH, Smirniotopoulos JG, Whitman GJ. Vascular lesions of the head and neck: spectrum and imaging findings. Neuroimaging Clin N Am. 2011;21(3):641–658.
13. Jackson IT, Carreño R, Potparic Z, Hussain K. Hemangiomas, vascular malformations, and lymphovenous malformations: classification and methods of treatment. Plast Reconstr Surg. 1993;91(7):1216–1230.
14. Waner M, Suen JY. Treatment of hemangiomas and vascular malformations of the head and neck. Otolaryngol Head Neck Surg. 1990;103(5):766–773.
15. Kruger GM. Treatment of vascular lesions of the oral mucosa by cryosurgery. Oral Surg. 1982;53(4):367–373.
16. Enjolras O. Management of hemangiomas and vascular malformations. Dermatol Clin. 1997;15(3):385–395.
17. Horbach SE, Lokhorst MM, Saeed P, de Goüyon Matignon de Pontouraude CM, Rothova A, van der Horst CM. Sclerotherapy for low-flow vascular malformations of the head and neck: a systematic review of sclerosing agents. JAMA Dermatol. 2016;152(9):1017–1024.
18. Lee BB, Bergan JJ, Rockson SG. Contemporary management of vascular malformations. J Vasc Surg. 2004;39(2):509–516.
19. Ernemann U, Kramer U, Miller S, et al. Current concepts in the classification, diagnosis and treatment of vascular anomalies. Eur J Radiol. 2007;63(3):375–382.
20. Yamashita Y, Inoue M, Iwai T, et al. Outcomes of polidocanol sclerotherapy for oral hemangiomas: a clinical study. J Oral Maxillofac Surg. 2013;71(3):538–544.