This document summarizes hemangiomas, abnormal growths of blood vessels that can occur in the skin or internal organs. It defines hemangiomas and describes their etiology as usually congenital. The document outlines the types of hemangiomas and their typical clinical features such as color, size, texture. It discusses diagnostic methods like ultrasound, CT and MRI. The summary also covers potential complications like bleeding or infection. Finally, it lists several management approaches that may be used such as self-regression, laser surgery, or corticosteroids.

2. P ADARSH ABHIJIT (FINAL YEAR)
ROLL NO-1379056(2013-14)
DEPT. OF ORAL MEDICINE AND RADIOLOGY
KALINGA INSTITUTE OF DENTAL SCIENCES

3. Introduction
•The word "hemangioma" comes from the Greek
haema - "blood"; angeio -"vessel"; oma -"tumor“.
• A hemangioma is an abnormal build up 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.

4. Introduction , cont..
• Etiology: Congenital.
• Incidence: About 30% of haemangiomas 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: These are usually develop on face, neck
,scalp and back shortly after birth . in oral cavity
the lips, tongue, buccal mucosa and palate are
most common sites.

6. 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

7. 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.

8. cont..
• Compressibility test, continue pressure
will push blood out of the lesion.
• If associated with tongue it may cause loss
of mobility.

9. Diagnostic Imaging
Hemangiomas are readily distinguished from
other tumors by:
–Ultrasonography (US)
–Computerized tomography (CT)
–Magnetic resonance imaging (MRI)
–Arteriography

10. Differential Diagnosis
Haemangiomas must be differentiated
from:
–Macular stains,
–Vascular malformations, and
–Other vascular tumors of infancy.

11. Complications
• Ulceration
• Infection
• Visual Impairment
• Airway Obstruction
• Auditory Canal Obstruction
• Congestive Heart Failure : usually occurs
in one of two settings: diffuse neonatal
hemangiomatosis or large visceral
haemangiomas

12. Cont.
• 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.

13. 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.

14. Thank You all
for
your kind attention