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    International Journal of Innovative Science and Research Technology
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    Hemangiomas are relatively familiar benign proliferative lesions of vascular tissue origin, which may be present at birth or may arise during

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    Capillary Hemangioma a Unique Entity in Mandibular Anterior Attached Gingiva a Case Report

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    Hemangiomas are relatively familiar benign proliferative lesions of vascular tissue origin, which may be present at birth or may arise during

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    © All Rights Reserved
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    16 views3 pages

    Capillary Hemangioma A Unique Entity in Mandibular Anterior Attached Gingiva A Case Report

    Uploaded by

    International Journal of Innovative Science and Research Technology
    Hemangiomas are relatively familiar benign proliferative lesions of vascular tissue origin, which may be present at birth or may arise during

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Volume 7, Issue 5, May – 2022 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    Capillary Hemangioma a Unique Entity in


    Mandibular Anterior Attached Gingiva:
    A Case Report
    Dr. Jambu Keshwar Kumar Dr. Joon Sunil
    B Associate Professor Department of Oral And PG Trainee Department Of Oral
    Maxillofacial Surgery, Coorg Institute of Dental Sciences, And Maxillofacial surgery, Coorg Institute of
    Virajpet Karnataka Dental Sciences, Virajpet, Karnataka

    Dr. Shashidara R. Swathi Priya V V Dr. Alex Thomas Senior Lecturer


    Head of Oral Pathology and PG Trainee Department of Department Of Oral And
    Microbiology Department, Coorg Oral And Maxillofacial surgery, Maxillofacial Surgery ,Coorg
    Institute of Dental sciences, Coorg institute of Dental Sciences, Institute Of Dental Sciences ,
    Virajpet, Karnataka Virajpet, Karnataka Virajpet, Karnataka

    Abstract:- Hemangiomas are relatively familiar benign A. Microscopic Features


    proliferative lesions of vascular tissue origin, which may Then biopsy were sent for histological examination and
    be present at birth or may arise during early childhood. the report show Para keratinized stratified squamous
    Usually it is symptomless but may present with epithelium with elongated rete pegs in few areas.The
    symptoms such as slow growing,recurrent bleeding, underlying connective tissue is highly fibrous and vascular
    mobile tooth and discomfort in the affected region. especially increasing in number, close to epithelium. The
    Investigators believe that Hemangiomas are congenital connective tissue also shows bundles of collagen fibres
    developmental anomalies and are not true neoplasms. along with presence of dense mixed inflammatory cells,
    The case report presents capillary hemangioma of predominantly plasmacells, lymphocytes andneutrophils
    Mandibular anterior region in a 50 year old Female. towards the superficial region of connective tissue. After
    laboratory evaluations in the oral pathology department it
    Keywords:- Hemangioma, Capillary Hemangioma. was diagnosed as capillary hemangioma.
    I. INTRODUCTION B. Diagnosis:
    Capillary Hemangioma
    An Angioma is a tumor of which the cells likely to
    form blood vessels or lymph vessels. When the tumours are
    made of lymph vessels they are known as lymphangioma
    and when composed of blood vessels they are called as
    hemangiomas. They are mostly seen at birth and are
    presentthroughout the life. Females are commonly affected1-
    3
    . Based on microscopic appearance it is classified as
    capillary, cavernous, mixed, sclerosing variety1 .The
    incidence of intraoral capillary hemangioma is infrequent
    and its topographical presentation on the palatal mucosa and
    gingiva are extremely rare1. Theyare seen as cutaneous,
    intramuscular, mucosal andintraosseuos1lesions. Imbalance
    in angiogenesis has a role in the development of
    hemangioma6.The lesions present a diagnostic dilemma to
    the clinicians, so histological andmicroscopic evaluations
    are very essential for a final diagnosis1.

    II. CASE REPORT

    The patient is a 50 years old female who was presented


    to Oral and Maxillofacial Surgery department complaint of a
    lesion which was painful and bleeding on provocation on the
    mandibular right anterior attached gingiva which extends Fig. 1: PRE-OPERATIVE PICTURE
    from mandibular incisors to canine region.History divulges
    excision of lesion5 months back in same region and recurred
    again.

    IJISRT22MAY1164 www.ijisrt.com 886


    Volume 7, Issue 5, May – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165

    Fig. 4: ONE MONTH REVIEW

    IV. DISCUSSION

    Hemangioma constitutes 7% of all benign tumors in


    Fig. 2: INTRA- OPERATIVE PICTURE infancy and childhood1 and ismore recognized at an early
    age, seen mostly in females3.The term hemangioma is
    commonly used to narrate an immense diversity of
    vasoformative tumors. Vascular malformations are present
    since birth.The lesions occur in oral and maxillofacial region
    including palate, gingiva,lip,jaw bones and salivary glands1.
    The occurrence of hemangioma on gingiva is rare5. Clinical
    features of hemangioma are bleeding, pain, destruction of
    bone or expansion of bone, early exfoliation of primary
    tooth, root resorption2. Hemangioma have similarities with
    other lesions. Differential diagnosis of hemangioma includes
    pyogenic granuloma, epulis, talengectasia and peripheral
    ossifying fibroma2.Histologically the capillary hemangioma
    often resembles pyogenic granuloma, however presence of
    certain features like intercellular edema and chronic
    inflammatory cell infiltration are very common in pyogenic
    granuloma but are rare in capillary hemangioma .In addition
    Hemangioma may be confused with the vascular appearing
    lesions of face or oral cavity which may be also represents
    the sturge- weber syndrome10.Capillary hemangioma arising
    on attached gingiva is extremely unique entity. The same
    observation was seen by Mishra MB et al in his study17. The
    treatment dependson clinicaland anatomical features and
    considerations. Angiography was of importance in
    delineation of the vascular supply and confirmation of the
    histological diagnosis2.Microembolization is a good method
    Fig. 3: HISTOMICROGRAPH of treating hemangioma. Our case outlines a capillary
    hemangioma present on the attached gingiva of mandibular
    III. CLINICAL OBSERVATION anterior region. Our treatment was by completely excising
    the lesion using electocautery.
    One month following surgery the site was completely
    healed ,patient were reviewed immediate post op, 7th day V. SUMMARY
    and one month respectively .During this period there was no
    recurrence noted and the patient was periodically observed The surgeons have to excise the lesion and should
    after the treatment. provide a better treatment for the patients and also in control
    the haemorrhage if persist.

    IJISRT22MAY1164 www.ijisrt.com 887


    Volume 7, Issue 5, May – 2022 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    REFERENCES [16.] Oral Capillary hemangioma : A clinical protocol of
    diagnosis and treatment in adults.Oral and
    [1.] Capillary Hemangioma as a rare benign tumor of the Maxillofacial surgery Nov 2013 Doi:10.1007/s10006-
    oral cavity: A case report by Alparslan Dilsiz, Tugba 013-0436-z.
    Aydin and Nesrin Gursan- 2009, 2.8622 doi: [17.] Mishra MB, Bishen KA, Yadav A. Capillary
    10.4076/1757-1626-2-8622. hemangioma :an occlusal growth of attached gingiva J
    [2.] Capillary Hemangioma of the maxilla A case report indian Soc Periodontal. 2012 Oct-Dec 16(4):592-596.
    two cases in which angiography and embolization were
    used Lynn A. Greene , DDS , Paul D Freedman ,
    DDS, Joel M Friedman, DDS and Merwin Wolf , DDS,
    and Bronx and New york , NY(oral SURG, Oral MED
    , ORAL PATH 1990 ;70:268-73)
    [3.] Silverman RA .Hemangiomas and vascular
    malformations. Paediatric clin North Am.
    1991;38:811-834(PubMed)[Google Scholar]
    [4.] Kocer U, Ozdemir R Tiftikcioglu YO, Karaaslan O,
    Soft tissue hemangioma formation within a previously
    excised intraosseous hemangioma site. J Craniofac
    Surg. 2004;15:82-83.doi: 10.1097/0001665-
    200401000-00023.[PubMed][CrossRef][Google
    Scholar]
    [5.] Sznajder N, DominguezFV, Carrano JJ, Lis G.
    Haemorrhagic hemangioma of gingiva:report of a case.
    J Periodontal.1973;44:579-582 [PubMed][Google
    Scholar]
    [6.] Cavernous haemangioma-A case report Sunil Kumar
    Sharma International journal of medical research and
    health science , 2016,5,7:114-117 .
    [7.] Yoon RK, Chussid S, Sinnarajah N. Characteristic of a
    paediatric patient with a capillary hemangioma of the
    palatal mucosa: a case report.Paediatric Dent
    .2007;29:239-242.[PubMed][Google Scholar].
    [8.] Onseti GM , Mazzocchi M ,Mezzana P, Scuderi N.
    Different types of embolization before surgical
    excision of hemangiomas of the face .Acta
    Chirplast.2003;45:55-60[PubMed] [Google Scholar]
    [9.] Deans RM, Harris GJ, Kivlin JD .Surgical dissection of
    capillary hemangiomas. An alternative to intralesional
    corticosteroids. Arch Ophthalmol.1992;110:1743-
    1747[PubMed] [Google Scholar]
    [10.] Mills SE, Copper PH, Fecher RE. Lobular capillary
    hemangioma:the underlying lesion of pyogenic
    granuloma. A study of 73 cases from the oral and nasal
    mucous membrane.AmJ Surg Pathol.1980;4:470-
    479.[PubMed] [Google Scholar]
    [11.] Bhansali RS, Yeltiwar RK, Agarwal AA. Periodontal
    management of gingival enlargement associated with
    sturge weber syndrome.J Periodontol.2008;79:549-455
    [12.] Silverman RA. Hemangiomas and vascular
    malformations. Paediatric Clin north
    America1991;38:811-34
    [13.] Chin DC .Treatment of maxillary hemangioma with
    sclerosing agent. Oral Surg Oral Med Oral
    Pathol1983;55:247-9
    [14.] Barak s, Katz J, Kalapan I. The co2 laser in surgery of
    vascular tumors of the oral cavity in children .J Dent
    Child 1991;58:293-6
    [15.] Bayrak S, Dalaci K, Tnsel H. Capillary Hemangioma
    of the palatal mucosa : Report of an unusal case.SU DI
    hek Fak Derg 2010;19:87-9

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