HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 24 no. 2 (2009)

Cavernous Hemangioma of the Mandible

Enrique Ii C. Papa | Emmanuel S. Samson, Md | Francisco A. Victoria

 

Abstract:

Objectives: To report a case of hemangioma arising from the mandible and its
clinical presentation; describe the similarities with which mandibular hemangioma
may mimic odontogenic and non-odontogenic lesions; and identify diagnostic and
treatment modalities employed in these patients.
Methods:
Design: Case Report
Setting: Tertiary Public Hospital
Patient: One
Results: A 12-year-old male with intractable gum bleeding exacerbated by intra
operative manipulation of a loose first premolar and uncontrolled by left external carotid
ligation, underwent segmental mandibulectomy. The resected segment revealed
multiple porosities and a hollow blood-filled cavity. Histopathology confirmed the
diagnosis of cavernous hemangioma.
Conclusion: Though rare, mandibular hemangiomas should be considered in lesions
involving the mandible. Diagnosis is difficult with an array of lesions that may appear
clinically and radiographically similar. The non-specific signs and symptoms of
mandibular hemangioma could lead to exsanguinating hemorrhage if not attended to
promptly.