Pyogenic Granuloma of Hard Palate: A Rare Case Report

Kumar, Mukesh; Koshal, Neha; Mittal, Sachin; Vinayak, Vidhi; Sharma, Abha

doi:10.5958/j.2321-1024.1.1.010

Cited by 1 publication

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“…PGs occurring in the hard palate are rare and necessitate a comprehensive differential diagnosis to exclude conditions such as minor salivary gland tumors, peripheral ossifying fibroma, peripheral giant cell granuloma, parulis, gingival squamous cell carcinoma, angiosarcoma, Kaposi sarcoma, and granular cell tumor [ 3 , 4 ]. The accurate diagnosis of PG relies on both clinical examination and imaging techniques, specifically computed tomography (CT) and magnetic resonance imaging (MRI).…”

Section: Introductionmentioning

confidence: 99%

Pyogenic granuloma of the hard palate leading to alveolar cleft: a case report

Song,

Choi,

Tak

2024

Arch Craniofac Surg

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This case report describes a rare occurrence of pyogenic granuloma (PG) in the hard palate deviating from its typical gingival location that led to the formation of an alveolar cleft. The aggressive growth pattern of the lesion, with atypical progression from a pedunculated nodule to an alveolar cleft, raised concern. The diagnosis was based on magnetic resonance imaging and computed tomography findings, which revealed a tadpole-shaped lesion originating from the midline hard palate. The differential diagnosis included a minor salivary gland tumor. Surgical excision was performed under general anesthesia and resulted in a mucosal defect without nasolabial fistula formation or bone exposure. The palatal defect was packed with oxidized regenerated cellulose and closed with Vicryl Rapide sutures, both of which contributed to the patient’s successful outcomes. Our comprehensive approach, extending across the stages of surgical planning, execution, and postoperative care, demonstrated the advantages of a multidisciplinary strategy for the accurate diagnosis and effective treatment of palatal PGs. This report makes a meaningful contribution to the existing literature on common oral lesions by emphasizing the importance of a broad differential diagnosis and a systematic approach to oral pathologies. It also raises clinical awareness of PGs with atypical presentations and the diagnostic challenge that they pose.

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Section: Introductionmentioning

confidence: 99%