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Management of Vascular Malformations in Dangerous Area of Oral Cavity: The Iranian Experience and Review of Treatment Modalities

Management of Vascular Malformations in Dangerous Area of Oral Cavity: The Iranian Experience and Review of Treatment Modalities

作     者:Somayeh Alirezaei Maryam Baharvand Masood Rezaei Arash Azizi Bita Tavakoli 

作者机构:Dental School Islamic Azad University Tehran Iran Dental School Shahid Beheshti University of Medical Sciences Tehran Iran Oral and Maxillofacial Medicine Department Dental School Islamic Azad University Tehran Iran 

出 版 物:《Open Journal of Stomatology》 (口腔学期刊(英文))

年 卷 期:2014年第4卷第3期

页      面:115-120页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Vascular Malformation Intralesional Injection Dexamethasone 

摘      要:Aim: To evaluate the effect of a highly potent corticosteroid (dexamethasone) in the treatment of vascular malformation when the location is difficult to reach and complications such as uncontrolled bleeding is predictable in surgery. Background: Vascular malformation is not a common lesion in oral cavity especially in alveolar ridge with extension to the pillar uvula. These lesions arise from capillary or venous malformations with various surgical or non-surgical treatment modalities. Case Description: We performed weekly intralesional injection of dexamethasone in a patient with a vascular malformation in alveolar ridge extending to the lingual side of alveolar ridge and posterior extension to the uvula. Complete resolution of lesion was observed after 6th injection. Conclusion: Intralesional injection of dexamethasone is a potentially curative method to treat oral vascular malformation. Clinical Significance: Injection of dexamethasone is a simple and cost-effective therapy that can be used as a safe treatment for vascular malformations prior to or as a substitute for surgery.

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