Orofacial haemangioma: Series of two cases managed at University of Maiduguri Teaching Hospital and review of literature

Abstract

Haemangioma is a benign vascular proliferation of blood vessels commonly found in children. Head and neck haemangioma constitute about 60%–70% but those in the orofacial region are relatively rare. Whereas some categories of these lesions involute over time, some definitely require medical or surgical intervention or both. We present two cases of vascular lesions in two patients who presented with a history of discoloration and painless progressive facial swelling clinically, radiologically, and histologically diagnosed as haemangioma. Both cases were successfully treated with sclerosant therapy as well as surgical excision. There was uneventful healing and favorable clinical outcome during the postoperative period and subsequent follow up. Additionally, relevant literature in terms of clinical presentation and management has also being highlighted. Surgical treatment following oral propranolol and intralesional triamcinolone has shown to be a very effective treatment modality.Haemangioma is a benign vascular proliferation of blood vessels commonly found in children. Head and neck haemangioma constitute about 60%–70% but those in the orofacial region are relatively rare. Whereas some categories of these lesions involute over time, some definitely require medical or surgical intervention or both. We present two cases of vascular lesions in two patients who presented with a history of discoloration and painless progressive facial swelling clinically, radiologically, and histologically diagnosed as haemangioma. Both cases were successfully treated with sclerosant therapy as well as surgical excision. There was uneventful healing and favorable clinical outcome during the postoperative period and subsequent follow up. Additionally, relevant literature in terms of clinical presentation and management has also being highlighted. Surgical treatment following oral propranolol and intralesional triamcinolone has shown to be a very effective treatment modality.

Disclaimer: This article was originally published by WisdomGale Publishing, 14 Rue de Grand-Bigard, 1082 Brussels, Belgium, and was migrated to International Medical Publishing Group(IMPG), India, after the change of Publisher.