Akademik Veri Yönetim Sistemi
Turkish Association Of Oral and Maxillofacial Surgery 29th INTERNATIONAL SCIENTIFIC CONGRESS, Antalya, Türkiye, 6 - 10 Kasım 2022
Objective: Benign vascular lesions occur as a result of blood vessel abnormalities or endothelial cell proliferation. Hemangiomas are benign vascular tumors that are frequently encountered in the head and neck region and are classified according to the period of their occurrence in life. Hemangiomas can cause fissures, ulcers or bleeding, functional and
aesthetic problems by causing pressure on the surrounding tissues. Although many alternative methods such as steroid therapy, sclerosing therapy, cryotherapy and laser surgery are advocated in the literature in the treatment of vascular lesions, there is no universally accepted treatment protocol for the treatment of oral hemangiomas.
Case: A 35-year-old male patient. He applied to our clinic with a purple lesion in the right buccal region of the maxilla. As a result of the examination, the diagnosis of oral hemangioma was made. Steroid injection was planned because the lesion was large. 20 mg/ml prednisolone was injected into and around the lesion once a week. At the end of 2 months, a reduction in the size of the lesion was observed. The lesion was excised and the operation was terminated without bleeding.
Conclusion: Aggressive bleeding is the most common complication during oral hemangioma surgery. Steroid injection has an effect similar to the effect of sclerotherapy in the lesion, causing the vessels in the lesion to sclerosis, thereby reducing the lesion. Use for 2 months before surgical excision allowed reduction in the size of the lesion and excision without complications and bleeding.