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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 3/2019

01-09-2019 | Magnetic Resonance Imaging | Case Report

Buccal vascular malformation with multiple giant phleboliths: a rare case presentation and review of the literature

Authors: Efe Can Sivrikaya, Burak Cezairli, Ferhat Ayranci, Mehmet Melih Omezli, Zerrin Unal Erzurumlu

Published in: Oral and Maxillofacial Surgery | Issue 3/2019

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Abstract

Purpose

The purpose of this study was to describe a case and to review the diameters, symptoms, locations, and treatment methods for vascular malformations (VMs) with phleboliths. Our case report is probably the first to mention this observation because of sizes and large number of phleboliths in buccal region.

Case presentation

A 26-year-old male patient was referred to Ordu University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery for the evaluation and management of a painless tender swelling in the left buccal region. Clinically, a bluish mucosal lesion of the posterior region of the left buccal mucosa and lip is apparent. Panoramic radiography and CT were obtained for radiographical examinations. Multiple giant phleboliths with the largest dimension of 32 mm were seen in this region. Left maxillary first molar teeth extraction was indicated. An aspiration was performed and revealed that there is a risk of severe hemorrhage. The patient did not want to take MRI and stated that he only wanted to have dental treatment. Therefore, it was decided that the maxillary first molar should be retained in the region and endodontic treatment should be done, if necessary.

Conclusions

The clinic of phlebolith patients is painless swelling and can reach up to 6 cm. The localization is not specific but is found in the masseter and parotid regions generally. Treatment may be invasive or non-invasive depending on, location, accessibility, depth of invasion, age, cosmetic issues, and risk of severe hemorrhage, as with the current case.
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Metadata
Title
Buccal vascular malformation with multiple giant phleboliths: a rare case presentation and review of the literature
Authors
Efe Can Sivrikaya
Burak Cezairli
Ferhat Ayranci
Mehmet Melih Omezli
Zerrin Unal Erzurumlu
Publication date
01-09-2019
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 3/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00767-0

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