ABSTRACT:Hemangiomas affecting the soft tissues of the oral cavity represent the most common growths in infancy and childhood.They are usually present at birth but become clinically obvious in late infancy or early childhood. Treating those lesions pose a challenge to the surgeon. Reconstruction of a medium-sized defect of the tongue remains a challenge if aesthetic and functional impairment is to be avoided. Most hemangiomas develop in children less than 6 years of age and commonly are seen on lips, tongue, palate and buccal mucosa. We present a case of cavernous hemangioma of the tongue which was treated by circumferential excision and rotational advancement flap.