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Central hemangioma: an overview and case report.

Nikhil Marwah¹, Archna Agnihotri, Samir Dutta

¹Department of Pedodontics & Preventive Dentistry, Government Dental College, Rohtak, Haryana, India. dr_nikhilmarwah@rediffmail.com

Pediatric Dentistry

|October 14, 2006

Summary

Central hemangioma, a rare jaw tumor, presents diagnostic challenges due to nonspecific symptoms. This case highlights surgical management for this vascular lesion in an 8-year-old boy.

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Area of Science:

Oral and Maxillofacial Surgery
Pediatric Oncology
Vascular Lesions

Background:

Central hemangioma of the mandible and maxilla is exceptionally rare.
Intrabony lesions lack distinct clinical signs, complicating early diagnosis.
The vascular nature of these tumors poses significant management challenges.

Observation:

An 8-year-old boy presented with vague clinical features of a central hemangioma in the left mandibular body.
Radiographic and histological examinations revealed characteristic findings of central hemangioma.
The case underscores the diagnostic difficulty of intrabony jaw lesions.

Findings:

Surgical management, specifically en bloc resection of the mandible, was performed.
A reconstruction plate was inserted, with plans for future autogenous grafting.
Literature review covered clinical, radiographic, histological features, and treatment options.

Implications:

Accurate diagnosis is crucial for effective management of central jaw hemangiomas.
Surgical intervention remains a primary treatment modality for these rare vascular tumors.
This case contributes to understanding the presentation and treatment of central hemangioma in pediatric patients.