Infantile Intraosseous Maxillary Hemangioma

Area of Science:

• Pediatric Oncology
• Vascular Malformations
• Maxillofacial Surgery

Background:

• Primary osseous hemangiomas of the facial skeleton are rare and can be misdiagnosed as malignant tumors.
• Maxillary sinus involvement, particularly in infants, presents a diagnostic challenge due to its extreme rarity.

Observation:

• A case study of a one-month-old infant presenting with unilateral maxillary swelling.
• Histopathological examination revealed a hemangioma characterized by endothelial cell-lined vascular channels.

Findings:

• The infant showed significant improvement following treatment with oral steroids.
• This suggests a non-surgical approach may be effective for infantile maxillary hemangiomas.

Implications:

• Osseous hemangiomas should be included in the differential diagnosis for unilateral maxillary swelling in infants.
• Corticosteroid therapy may be a viable primary treatment, potentially obviating the need for surgical tumor excision.