Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200189
Jornal Vascular Brasileiro
Therapeutic Challenge

Fotobiomodulação associada à escleroterapia no tratamento de hemangioma em palato duro

Photobiomodulation associated with sclerotherapy for treatment of hemangioma in the hard palate

Matheus Sampaio de Oliveira; Maurilio Araujo Pegas; Larissa Pavan de Deus; Paula Carolina de Souza Chandretti; Eduardo Machado Vilela

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Resumo

Resumo: As alterações vasculares ocorrem frequentemente em região de cabeça e pescoço, sendo o hemangioma a mais comum. Paciente do sexo feminino, 61 anos, queixou-se de dor intensa em palato duro. Notou-se lesão arroxeada, de 1,5 cm, sensível à palpação e com histórico de hemorragia. A paciente era edêntula total, e a prótese total superior comprimia o local da lesão. Foi realizada a vitropressão, confirmando a origem vascular. A hipótese diagnóstica foi de hemangioma. Na primeira sessão, aplicou-se o laser vermelho (660 nm) em quatro pontos ao redor da lesão, sendo 0,5 J em cada ponto afim de se obter analgesia e iniciar o processo de reparo, além do reembasamento da prótese total superior. Na segunda sessão, foi feita aplicação de 2 mL de oleato de monoetanolamina 5%. Após 14 dias, observou-se regressão total da lesão. Os cirurgiões-dentistas devem estar aptos a reconhecer, diagnosticar e tratar as lesões vasculares em cavidade oral.

Palavras-chave

hemangioma, escleroterapia, laser de baixa intensidade, medicina bucal

Abstract

Vascular changes frequently involve the head and neck region and hemagioma is the most common. A 61-year-old female patient complained of severe pain in the hard palate. A purple lesion was found, measuring 1.5 cm, sensitive to palpation, and with a history of hemorrhage. The patient was fully edentulous and her upper denture compressed the lesion site. Diascopy confirmed the lesion’s vascular origin. A diagnostic hypothesis of hemangioma was raised. In the first session, red laser light (660nm) was applied at 4 points around the lesion, with 0.5 J at each point, in order to obtain analgesia and trigger the repair process. The upper denture was also relined. In the second session, 2 mL of 5% monoethanolamine oleate was applied. After 14 days, total regression of the lesion was observed. Dental surgeons must be able to recognize, diagnose and treat vascular lesions in the oral cavity

Keywords

hemangioma; sclerotherapy; low-level light therapy; oral medicine.

References

1 Neville BW. Patologia oral e maxilofacial. Rio de Janeiro: Elsevier; 2011.

2 Kato CNAO, Ribeiro MC, do Amaral MBF, Grossmann SMC, de Aguiar MCF, Mesquita RA. Experience with 5% ethanolamine oleate for sclerotherapy of oral vascular anomalies: A cohort of 15 consecutive patients. J Craniomaxillofac Surg. 2019;47(1):106-11. http://dx.doi.org/10.1016/j.jcms.2018.11.009. PMid:30527382.

3 Fernandes DT, Elias RA, Santos-Silva AR, Vargas PA, Lopes MA. Benign oral vascular lesions treated by sclerotherapy with ethanolamine oleate: A retrospective study of 43 patients. Med Oral Patol Oral Cir Bucal. 2018;23(2):180-7. http://dx.doi.org/10.4317/medoral.22253. PMid:29476682.

4 Kalra A, Jaggi N, Ahuja T, Bansal K, Sharma SP. Hemangioma: review of literature. J Contemp Dent Pract. 2013;14(5):1000-7. http://dx.doi.org/10.5005/jp-journals-10024-1440. PMid:24685812.

5 Corrêa PH, Nunes LC, Johann AC, Aguiar MC, Gomez RS, Mesquita RA. Prevalence of oral hemangioma, vascular malformation and varix in a Brazilian population. Braz Oral Res. 2007;21(1):40-5. http://dx.doi.org/10.1590/S1806-83242007000100007. PMid:17384854.

6 Judith N, Ulrike E, Siegmar R, Matthias N, Jürgen H. Current concepts in diagnosis and treatment of venous malformations. J Craniomaxillofac Surg. 2014;42(7):1300-4. http://dx.doi.org/10.1016/j.jcms.2014.03.014. PMid:24969765.

7 Sadick M, Wohlgemuth WA, Huelse R, et al. Interdisciplinary management of head and neck vascular anomalies: clinical presentation, diagnostic findings and minimalinvasive therapies. Eur J Radiol Open. 2017;4:63-8. http://dx.doi.org/10.1016/j.ejro.2017.05.001. PMid:28540347.

8 Frigerio A, Tan OT. Laser applications for benign oral lesions. Lasers Surg Med. 2015;47(8):643-50. http://dx.doi.org/10.1002/lsm.22404. PMid:26308664.

9 Lin L, Guo P, Cao Y, Li Q, Zhang J, Huo R. Combination of Sclerotherapy and dual-wavelength laser in the management of infantile hemangiomas in chinese infants. Dermatol Surg. 2019;45(10):1253-9. http://dx.doi.org/10.1097/DSS.0000000000001898. PMid:30882500.

10 Merigo E, Rocca JP, Pinheiro ALB, Fornaini C. Photobiomodulation therapy in oral medicine: a guide for the practitioner with focus on new possible protocols. Photobiomodul Photomed Laser Surg. 2019;37(11):669-80. http://dx.doi.org/10.1089/photob.2019.4624. PMid:31589560.

11 Rocha ABM, Sant’anna FB, Fernandes IS, Azoubel E, Araujo RPCA. Escleroterapia de hemangioma em borda lateral de língua: relato de caso. Rev Ciênc Méd Biol. 2014;35(1):398-02.

12 Ademi Abdyli R, Abdyli Y, Perjuci F, Gashi A, Agani Z, Ahmedi J. Sclerotherapy of Intraoral Superficial Hemangioma. Case Rep Dent. 2016;43:201-2. PMid:27994889.

13 Tolentino ES, Faria LO, Vargas RM, Camarini C, Santin GC, Chicarelli da Silva M. Monoethanolamine oleate sclerotherapy for the treatment of intraoral vascular anomalies: retrospective study and suggestion for a clinical guideline. Br J Oral Maxillofac Surg. 2020;58(4):416-20. http://dx.doi.org/10.1016/j.bjoms.2020.01.020. PMid:32057469.

14 Queiroz SIML, Assis GM, Silvestre VD, Germano AR, Silva JSP. Treatment of oral hemangioma with sclerotherapy: case report. J Vasc Bras. 2014;13(3):249-53. http://dx.doi.org/10.1590/jvb.2014.035.

15 Selim H, Selim A, Khachemoune A, Metwally SA. Use of sclerosing agent in the management of oral and perioral hemangiomas: review and case reports. Med Sci Monit. 2007;13(9):114-9. PMid:17767124.

16 De Freitas LF, Hamblin MR. Proposed mechanisms of Photobiomodulation or low-level light therapy. IEEE J Sel Top Quantum Electron. 2016;22(3):7000417. http://dx.doi.org/10.1109/JSTQE.2016.2561201. PMid:28070154.

17 Azma E, Razaghi M. Laser treatment of oral and maxillofacial hemangioma. J Lasers Med Sci. 2018;9(4):228-32. http://dx.doi.org/10.15171/jlms.2018.41. PMid:31119015.
 


Submitted date:
08/11/2020

Accepted date:
12/08/2020

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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