M ZEYTİNOĞLU, T ÜNAL, F. B SEZER, C EFEOĞLU

Mandibular intraosseous hemangioma mimicking dental infection

Kemik içi yerleşimli mandibuler hemanjiom oral kavitede nadir görϋlϋr. En sık etkilenen yüz kemikleri mandibula, maksilla ve burun kemikleridir. Marjinal periodontitisli bir alt bϋyϋk azı dişinin komşuluğunda izlenen ve kemik içi yerleşimli bir mandibuler hemanjiom olgusu sunulmaktadır. İlgili diş ve lezyon lokal anestezi altında eksize edilmiştir. Histopatolojik tetkikte hϋcresel atipi veya mitotik aktivite saptanmamıştır. Bu olgunun yanıltıcı hikâyesi ve klinik bulguları radyografik görϋnϋm ve ayırıcı tanıya ağırlık verilerek tartışılmaktadır. Tedavi için ilgili dişin çekimi ve santral hemanjiomun enukleasyonu yeterli olmuştur. Operasyondan sonraki 3 yıl boyunca takip edilen hastada tϋmörϋn nϋks ettiğine dair her hangi bir klinik veya radyolojik bulguya rastlanmamıştır.

Odontojen enfeksiyon ile karışan kemik içi yerleşimli mandibuler hemanjiom

Hemangioma is a neoplasm that is rarely seen in the oral cavity. The most commonly affected facial bones are the mandible, the maxilla and the nasal bones. A case of intraosseous hemangioma, adjacent to a lower molar with periodontitis is presented. The involved tooth and the lesion were excised under local anesthesia. Histopathological examination did not reveal cellular atypia or mitotic activity. The differential diagnosis of radiolucent periapical lesions is discussed with emphasis on radiographic appearance. Intraosseous hemangioma of the mandible is a very rare pathology and this case has unique aspects like the misleading presentation, the age and sex of the patient. Removal of the involved tooth and a complete enucleation of the central hemangioma were sufficient for the treatment of this case, and there were no clinical or radiological signs of recurrence three years after the operation.

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