CT and MR imaging features of oral and maxillofacial hemangioma and vascular malformation

Kakimoto, Naoya; Tanimoto, Keiko; Nishiyama, Hiroaki; Murakami, Shumei; Furukawa, Souhei; Kreiborg, Sven

doi:10.1016/j.ejrad.2004.09.011

Cited by 38 publications

(24 citation statements)

References 21 publications

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“…The diagnosis is based on a combination of clinical features with a variety of imaging techniques, including plain radiography, Doppler ultrasonography, CT, CTA, MRI, magnetic resonance angiography, conventional angiography, and digital subtraction angiography 2,11. Based on the current evidence3,4,7 on intraosseous vascular lesions, the present case is described as an intraosseous vascular malformation.…”

Section: Discussionmentioning

confidence: 92%

“…CT scan can differentiate the extensive speculate pattern of periosteal reaction in osteosarcoma from the intraosseous vascular malformation, bone destruction and strands of a fine, lacelike density in myxoma, partially cystic meshwork divided by coarse septae of ABC, and ground-glass appearance with ill-defined margins in fibrous dysplasia 11. CTA with 3D reformations can be considered a first-line evaluation as well as a follow-up tool for the treated lesions 2.…”

Section: Discussionmentioning

confidence: 99%

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Diverse imaging characteristics of a mandibular intraosseous vascular lesion

et al. 2014

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Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated wih surgical excision. Diverse characteristics such as the "honeycomb" and "sunburst" radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Diverse imaging characteristics of a mandibular intraosseous vascular lesion

et al. 2014

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“…Biopsy for the diagnosis of the vascular lesions located in the head and neck is occasionally difficult and risky, because of complications such as hemorrhage. These vascular lesions may be diagnosed by their typical imaging findings (8,13,14). Additionally, radiology has a role in showing the extent of lesions, which is important for therapy and follow-up.…”

Section: Resultsmentioning

confidence: 99%

Imaging findings of vascular lesions in the head and neck

Güneyli

Ceylan²,

Bayraktaroğlu³

et al. 2014

Diagn Interv Radiol

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Vascular lesions of the head and neck include vascular neoplasms, vascular malformations, and hypervascular lesions, derived from nonvascular soft-tissue elements. We retrospectively evaluated magnetic resonance imaging and computed tomography images of vascular lesions located in the head and neck. Twelve patients (seven males, five females) aged 1-68 years (mean age, 35.25 years) were included in this study. Most of the vascular lesions in our study were histologically diagnosed. The lesions were as follows: a hemangioma located in the parotid space (n=1); a hemangioendothelioma located in the parotid space (n=1); a hemangiopericytoma located in the larynx (n=1); a juvenile angiofibroma located in the nasopharynx (n=1); a glomus tumor located in the carotid bifurcation (n=1); venous malformations located in the parapharyngeal space, the pterygoid area, the orbital space, and the larynx (n=4); lymphatic malformations located in the parotid space and the supraclavicular area (n=2); and an arteriovenous malformation located in the infratemporal fossa (n=1). We present rare vascular lesions of the head and neck, which have typical radiological findings.

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“…As in this case the lesion was diagnosed as vascular in nature without any bony involvement in which a feeding vessel was involved in submandibular gland region in CT angiography. Sonography is considered as a first-line imaging procedure for patients with soft tissue swellings [7,8]. Colour Doppler sonography is especially useful to demonstrate the vascular structures in and around the masseter muscle.…”

Section: Discussionmentioning

confidence: 99%

Intramuscular Cavernous Haemangioma of Masseter Muscle – A Case Report of Surgical Excision

Jolly¹

2015

JCDR

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A 15-year-old female reported to us with the chief complaint of swelling over left angle of the mandible and submandibular region from past seven-eight months [Table/ Fig-1]. Medical and family history of the patient was unrelevant. A swelling of size 3 x 2 x 2 cm extending slightly above the angle of mandible to submandibular gland region beneath the masseter muscle was noted. It was painless, non tender without any history of trauma to the region.There was no carious tooth in the oral cavity and mouth opening of the patient was normal. Third molars were not present and no bony expansion of buccal as well as lingual plate was observed that confirmed it as a non odontogenic in nature. On palpation it was soft spongy, diffuse in nature without pulsations and definite margins. The size of swelling was reduced on pressure over it depicted as a vascular pathology. Swelling was non tender without rise in local temperature and no change in the texture and colour of the skin. Provisional diagnosis such as arteriovenous malformation, Less than 20% of these are found in head and neck region. The masseter muscle accounts for 5% of all intramuscular haemangioma of head and neck region. They are non metastasizing tumours which may suddenly start growing in later stages. The present article will discuss the clinical presentation, diagnostic modalities and surgical treatment of cavernous Haemangioma involving masseter muscle in a 15-year-old young female patient in whom a surgical excision of whole lesion was done under general anaesthesia and no reoccurrence of the lesion was observed after one year of follow up. haemangioma, lipoma, lymphengioma, lymphoma and salivary gland pathology was made. Fine needle aspiration cytology was advised that yields a fresh blood on aspiration confirmed a vascular lesion of high flow in nature. Angiography was done to see the feeding vessel, the size and extent of the lesion. It revealed a 3 x 2 x 2 cm lesion beneath the layers of masseter muscle around the angle of mandible with feeding vessel at submandible gland region [Table/ Fig-2,3]. The lesion was easily accessible and surgical interventions were planned after discussion with patient and her guardians as they were not willing for long term sclerotheraphy.Under general anaesthesia using orotracheal intubation submandibular incision approximately 2.5 cm in length was given in the skin crease to minimise the scar visibility. Layer wise dissection of platysma was carried out to identified and retraction of marginal mandibular branch of facial nerve. Facial vessels were exposed and ligated to have large access [

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CT and MR imaging features of oral and maxillofacial hemangioma and vascular malformation

Cited by 38 publications

References 21 publications

Diverse imaging characteristics of a mandibular intraosseous vascular lesion

Diverse imaging characteristics of a mandibular intraosseous vascular lesion

Imaging findings of vascular lesions in the head and neck

Intramuscular Cavernous Haemangioma of Masseter Muscle – A Case Report of Surgical Excision

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