Haemangiomas are the most common benign soft tissue tumours of the oral cavity. It often presents at birth or soon after and appears as a soft and vascular swelling in the lip, tongue, or buccal mucosa. It can be managed medically or surgically. This article reports a case of hemangioma of the buccal mucosa in a 13-year-old boy effectively managed by sclerotherapy.

1. George A, Mani V, Noufal A. Update on the classification of hemangioma. J Oral Maxillofac Pathol. 2014 Sep;18(Suppl 1): S11
2. Lyssy LA, Puckett Y. Oral Hemangiomas. [Updated 2023 Aug 8]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560768/
3. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982 Mar;69(3):412-22. 
4. Donnelly LF, Adams DM, Bisset GS. Vascular malformations and hemangiomas: A practical approach in a multidisciplinary clinic. Am J Roentgenol 2000; 174:597-608
5. Nair SC, Spencer NJ, Nayak KP, Balasubramaniam K.  Surgical management of vascular lesions of the head and neck: a review of 115 cases. Int J Oral Maxillofac Surg. 2011; 40:577–83
6. ISSVA Classification of Vascular Anomalies ©2018 International Society for the Study of Vascular Anomalies Available at “issva.org/classification”.
7. Richter GT, Friedman AB.  Hemangiomas and vascular malformations: current theory and management. Int J Pediatr. 2012; 2012:645678
8. Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia epitelial. In: Neville BW, et al. Patologia oral & maxilofacial. Tradução de Danielle Resende Camisasa. 3rd ed. Rio de Janeiro: Elsevier, 2009. p. 363-453.
9. Barrón-Peña A, Martínez-Borras MA, Benítez-Cárdenas O, PozosGuillén A, Garrocho-Rangel A. Management of the oral hemangiomas in infants and children: Scoping review. Med Oral Patol Oral Cir Bucal. 2020 Mar 1;25 (2):e252-61.
10. Tanwar R, Sharma A, Suma GN. Diascopy in oral lesions: An old algorithm revisited. J Dent Oral Biol. 2017; 2:1114-5
11. Paltiel HJ, Burrows PE, Kozakewich HP, Zurakowski D, Mulliken JB. Soft-tissue vascular anomalies: utility of US for diagnosis. Radiology. 2000 Mar;214(3):747-54. doi: 10.1148/radiology.214.3.r00mr21747. PMID: 10715041.
12. Steinklein JM, Shatzkes DR. Imaging of vascular lesions of head and neck. Otolaryngol Clin N Am. 2018;51:55–76
13. Govrin-Yehudain J, Moscona AR, Calderon N, Hirshowitz B (1987) Treatment of hemangioma by sclerosing agents: an experimental and clinical study. Ann Plast Surg 18:465–469
14. Hydoh H, Hori M et al (2005) Periphral vascular malformations, imaging, treatment approaches and therapeutic issues. Radiographics 25(special issue):159–172
15. Agarwal S. Treatment of oral hemangioma with 3% sodium tetradecyl sulfate: study of 20 cases. Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):205-7. doi: 10.1007/s12070-011-0249-z. Epub 2011 Apr 13. PMID: 23998020; PMCID: PMC3431531.
16. Minkow B, Laufer D, Gutman D (1979) Treatment of oral hemangioma with local sclerosing agents. Int J Oral Surg 8:18–2
17. Christensen RW. The treatment of oral hemangiomas: report of four cases. Oral Surg Oral Med Oral Pathol. 1959; 12:912–21.
18. Gupta D, Gupta S, Mittal A, Garg P. Diagnosis and Management of Cavernous Hemangioma of the Tongue with Sclerosing Agents: A Case Report and Review of Literature. Electron J Gen Med. 2021;18(5):em307. https://doi.org/10.29333/ejgm/11016

Fasalulla O

Assistant Professor, Department of Oral and Maxillofacial Surgery, Government Medical College Manjeri-Kerala University of Health Science