Jorge Maria Isabel Sánchez, Brinkmann Jorge Cortés-Bretón, Corchón Aranzazu González, Ocaña Rosa Acevedo
Department of Oral Surgery and Oral Implantology, Faculty of Dentistry, University Alfonso X el Sabio, Spain.
Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Spain.
J Korean Assoc Oral Maxillofac Surg. 2021 Aug 31;47(4):321-326. doi: 10.5125/jkaoms.2021.47.4.321.
Hemangioma is a benign tumor characterized by the proliferation of blood vessels. Although it often appears in soft tissues, its occurrence in bone tissue, particularly the mandible, is extremely rare. A 32-year-old female sought attention at the dental clinic complaining of a painless swelling in the posterior region of the left side of the mandible. A panoramic radiograph and computed axial tomography scan were taken, showing honeycomb and sunburst images, respectively, in the affected area. The patient underwent a biopsy, which led to the diagnosis of intraosseous hemangioma. Having assessed the characteristics of the lesion, it was decided to perform complete excision including safety margins, followed by an iliac crest bone graft to reconstruct the mandible. Awareness of the possible clinical and radiographic presentations of intraosseous hemangioma is considered important, as non-diagnosis could have severe consequences given its possible relation to dental structures.
血管瘤是一种以血管增生为特征的良性肿瘤。尽管它常出现在软组织中，但在骨组织尤其是下颌骨中发生极为罕见。一名32岁女性因左侧下颌骨后部无痛性肿胀到牙科诊所就诊。拍摄了全景X线片和计算机轴向断层扫描，分别显示病变区域呈蜂窝状和日光放射状影像。患者接受了活检，诊断为骨内血管瘤。在评估病变特征后，决定进行包括安全边缘的完整切除，随后进行髂嵴骨移植以重建下颌骨。鉴于骨内血管瘤可能与牙齿结构有关，未诊断可能会产生严重后果，因此了解其可能的临床和影像学表现被认为很重要。
