Infantile Intraosseous Maxillary Hemangioma
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Case Report

A one-month-old male infant presented to us with progressive right maxillary swelling and alveolar fullness, first noted at 6 days of age. The child was born term, and had no significant perinatal history. No functional deficits due to maxillary mass were reported. Computed tomography (CT) revealed a heterogeneous, mildly enhancing and expansile lesion of the right maxilla, replacing the right maxillary sinus and alveolar ridge. Orbital contents were normal.

We suspected malignancy, and performed a biopsy from the swelling under general anesthesia via sublabial route. A fleshy bleeding mass was seen from which biopsy was taken. The mass bled profusely and the maxillary sinus was packed with sofragauze. The pack was subsequently removed gently under short inhalational anesthesia after two days. No bleeding was seen subsequently. Histopathological examination of the mass revealed hemangioma showing vascular channels lined by increased number of bland endothelial cells with no atypia or mitosis. We treated the child with oral steroids for two months followed by gradual fortnightly tapering after the lesion regressed. Maxillary fullness resolved in four months. The patient is now well on regular follow-up......

http://www.indianpediatrics.net/dec2016/dec-1103-1104.htm
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