medigraphic.com
ISSN 1561-297X (Print)

2018, Number 4

<< Back Next >>

Rev Cubana Estomatol 2018; 55 (4)

Oral vascular lesions: clinical, diagnostic and therapeutic evaluations

de Morais NLE, Vieira MAK, Gadelha VM, Gadelha VR

Language: Portugués
References: 19
Page: 1-11
PDF size: 101.29 Kb.


ABSTRACT

Introduction: Vascular disorders affect the head and neck regions with high incidence. When they affect the oral region, there is a predilection for lips, tongue and mouth commissure, predominantly in the female.
Objective: To analyze oral vascular lesions, emphasizing the clinical characteristics, diagnostic methods and therapeutic approach.
Methods: A bibliographic review was carried out in the databases PubMED/Medline, Lilacs, Science Direct andSciELO (Scientific Electronic Library). We used the descriptors hemangioma, vascular malformations, sclerotherapy and photocoagulation, in Portuguese, English and Spanish. We obtained 262 complete articles, of which 18 were used as appropriate scientific basis for this topic, based on the inclusion and exclusion criteria.
Results: Oral vascular lesions are clinically characterized as single lesions of the nodes or blotches, whose color varies from deep red to purple and are of variable size. In order to diagnose these lesions, clinical examinations associated with the periodontal disease are commonly used, although in most cases they do not require complementary examinations. The therapeutic intervention is justified due to aesthetic deformities, possible bleeding, ulcerations and infections. For such changes, there are several therapeutic modalities, including sclerotherapy, cryotherapy, surgical removal and laser photocoagulation therapy.
Conclusions: Oral vascular lesions show peculiar clinical characteristics, presenting as nodules or spots, whose coloration varies from intense red to purple. Diascopy is the most used and reliable semi-technical method for establishing the clinical diagnosis of these lesions. The use of sclerosing solutions is the most described treatment in the literature, followed by laser photocoagulation.


REFERENCES

  1. Dong JY, Ning JX, Li K, Liu C, Wang XX, Li RH, et al. Analysis of factors affecting the therapeutic effect of propranolol for infantile haemangioma of the head and neck. Sci Rep. 2017;7:01-05.

  2. Bastos JT, Balassiano LKA, Rocha CRM, Freitas BMP, Bravo LG, Bravo BSF. Treatment of vascular lesions located in the lip and in the oral cavity with Nd-YAG laser. J Cosmet Laser Ther. 2017;2017:1-16.

  3. Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral e Maxilofacial. Trad. 3ª ed., Rio de Janeiro: Elsevier; 2009.

  4. Passas MA, Teixeira M. Hemangioma da Infância. Nascer e Crescer. 2016;25(2):83-89.

  5. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69:412-20.

  6. Abarzúa Á, Álvare-Velíz S, Moll-Manzur C, Cataldo K. Lago venoso de localización infrecuente. Piel. 2016;31:607-9.

  7. Palma FR, Garcia JAC, Jung R, Garcia RN, Aranha FCS, Garcia RN. Escleroterapia de hemangioma oral. Relato de caso. Salusvita. 2016;35(1):85-93.

  8. Abdyli RA, Abdyli Y, Perjuci F, Gashi A, Agani Z, Ahmedi J. Sclerotherapy of Intraoral Superficial Hemangioma. Case Rep Dent. 2016;2016:01-5.

  9. Choi BE, Kim Y, Leem DH, Baek JA, Ko SO. Utility of sodium tetradecyl sulfate sclerotherapy from benign oral vascular lesion. Maxillofac Plast Reconstr Surg. 2016 Dec; 38(1):1-4.

  10. Medeiros R Jr, Silva IH, Carvalho AT, Leão JC, Gueiros LA. Nd: YAG laser photocoagulation of benign oral vascular lesions: a case series. Lasers Med Sci. 2015 Nov;30(8):2215-2220.

  11. Tobouti PL, Olegário I, De Sousa SCOM. Benign vascular lesions of the lips: Diagnostic approach. J Cutan Pathol. 2017;44(5):451-5.

  12. Frigerio A, Tan OT. Laser applications for benign oral lesions. Lasers Surg Med. 2015;47(8):643-50.

  13. Voynov PP, Tomov GT, Mateva NG. Minimal Invasive Approach for Lips Venous Lake Treatment by 980 nm Diode Laser with Emphasis on the Aesthetic Results. А Clinical Series. Folia Med. 2016 Apr-Jun; 58(2):101-7.

  14. Kaneko T, Sasaki S, Baba N, Koh K, Matsui K, Ohjimi H, et al. Efficacy and safety of oral propranolol for infantile hemangioma in Japan. Pediatr Int. 2017 Aug;59(8):869-77.

  15. Mitra D, Dutta S, Paul J, Kumar N. Central capillary hemangioma of the maxilla: Case report and a review of the literature. Saudi J Dent Res. 2016;7(1):64-8.

  16. Silva JR, Junior HVR, Albieri F, Mourão CF, Moraes GFD, Homsi N. O uso de oleato de monoetanolamina no tratamento de hemangioma em lábio inferior: Relato de caso. Scientific-Clinical Odontology. 2016;15(2):127-9.

  17. Rezende KMPC, Corrêa FNP, Corrêa JPNP, Bönecker M, Corrêa MSNP. Hemangioma: descrição de um caso clínico e sua importância no diagnóstico diferencial. Rev Assoc Paul Cir Dent. 2016;70(1):20-3.

  18. Jasper J, Camilotti RS, Pagnoncelli RM, Poli VD, da Silveira Gerzson A, Gavin Zakszeski AM. Treatment of lip hemangioma using forced dehydration with induced photocoagulation via diose laser: reposto of three case. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(3):e89-94.

  19. Horbach SE, Lokhorst MM, Saeed P, Pontouraude CMGM, Rothová A, Van der Horst CM. Sclerotherapy for low-flow vascular malformations of the head and neck: A systematic review of sclerosing agents. J Plast Reconstr Aesthet Surg. 2016;69(3):295-304.




2020     |     www.medigraphic.com