顎・顔面に発生した巨大な血管腫に対するembolization治療

概要

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Hemangiomas in the perioral region are not uncommonly encountered by oral surgeons. Managements of these lesions and the modes of therapy employed depend on factors such as the age of the patients, size and extent of the lesions, as well as on the clinical characteristics. Surgery of these benign lesions can at times be disfiguring, especially when lips, muscles, maxilla and/or mandible are involved.<BR>We report a case of large hemangiomas in oral and perioral region managed with a technique of transarterial embolization. The patient was a 29-year-old man with a multiple hemangiomas in his left buccal-temporalis region. The embolization was performed via the femoral artery using the Seldinger technique. Geratin sponge, polyvinyl alcohol foam and stainless steel coil with wool were used as the embolic materials. After 17 months study of this patient, we observed a significant decrease in the size of the hemangiomas. We consider that this treatment is one of the best choices for the richly vascularized benign tumors such as hemangiomas.