Introduction• A hemangioma is an abnormal buildup of blood vessels in the skin or internal organs.• It may be congenital or traumatic in origin.• It is called vascular nevus• composed of seemingly disorganized vessels that are filled with blood and is connected to the main vein
Types• Central – In bone• Capillary – Intercommunication capillary vessels • Strawberry angioma • Port wine stain • Salmon’s notch• Cavernous – Dilated blood containing spaces lined by endothelium• Arterial
Introduction, cont.• Etiology: Congenital.• Incidence: About 30% of hemangiomas are present at birth. The rest appear in the first several months of life• Gender: female to male ratio is 2:1• Age: 1st and 3rd decades.• Site: most common site are the lips, tongue, buccal mucosa and palate
Clinical Features• Appear as a flat or raised lesion of the mucosa• Deep red or blue reddish in color and seldom is well circumscribed• May vary in size and may become larger on physical activities• Some lesions are pedunculated and globular and some are broad based and flat or slightly raised
Clinical Features• Compressibility test, continue pressure will push blood out of the lesion.• If associated with tongue it may cause loss of mobility.
Complications• Bleeding (especially if the hemangioma is injured).• Problems with breathing and eating.• Psychological problems, from skin appearance.• Secondary infections and sores.• Visible changes in the skin.• Vision problems.
Management• Usually regress by itself during adolescent period.• Laser surgery, cryosurgery by dry ice.• Sclerosing technique.• Injection of boiling water or hypertonic saline.• Radiation therapy.• Corticosteroids.
Thank You all for your kind attention
References:• Habif TP. Vascular tumors and malformations. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 23.• Textbook of oral medicine, AnilGovindrao Ghom For: White and Pharoah