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婴幼儿口腔颌面部血管瘤的治疗:病例报告

Management of Orofacial Infantile Haemangioma: A Case Report.

作者信息

Zuhir Othman, Muhd Noor Nurhidayah, Marsom Aminah

机构信息

Department of Paediatric Dentistry, Selayang Hospital (Ministry of Health), Batu Caves, Selangor, Malaysia.

出版信息

Case Rep Dent. 2024 Dec 18;2024:4988221. doi: 10.1155/crid/4988221. eCollection 2024.

Abstract

Infantile haemangioma (IH) is the most common childhood tumour, often developing in the head and neck region. It may cause disfigurement, functional impairment, or tooth developmental issues when it is present in the oral cavity. We report a case of a 2-month-old boy referred to the paediatric dentistry team with a segmental IH involving the left periorbital, cheek, and hard palate. The patient had a maculopapular rash in the periorbital area, a telangiectatic patch on his left cheek, and papules on the left posterior hard palate. He was comanaged with the paediatric, ophthalmology, dermatology, and cardiology teams. He was treated with oral propranolol, resulting in the lesions reducing in size. Early intervention is crucial to prevent severe complications affecting the patient's appearance, function, speech, feeding, and dentition. Dentists should be familiar with the clinical presentations and preventative measures, as we may encounter such patients with oral cavity involvement.

摘要

婴儿血管瘤(IH)是儿童期最常见的肿瘤,常发生于头颈部区域。当其出现在口腔时,可能会导致容貌毁损、功能障碍或牙齿发育问题。我们报告一例2个月大男婴,因节段性婴儿血管瘤累及左侧眶周、面颊和硬腭,转诊至儿童牙科团队。该患者眶周区域有斑丘疹样皮疹,左侧面颊有毛细血管扩张斑,左侧硬腭后部有丘疹。他由儿科、眼科、皮肤科和心脏病科团队共同管理。给予口服普萘洛尔治疗后,病变大小减小。早期干预对于预防影响患者外貌、功能、言语、喂养和牙列的严重并发症至关重要。牙医应熟悉临床表现和预防措施,因为我们可能会遇到口腔受累的此类患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86e6/11669428/02a499b26faf/CRID2024-4988221.001.jpg

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