Macroglossia in lingual cavernous hemangioma: a case report
The following case has been reported in the Journal of Surgical Case Reports.

A 5-year-old boy presented with an unsightly and protuberant swelling over the anterior third of tongue that had started as a small nodule soon after birth and gradually progressed in size after 9 months of age. It was associated with difficulty in swallowing, speech, recurrent blistering with pain and bleeding with minor trauma. He was unable to contain it within his mouth necessitating to sleep open-mouthed. He had also developed multiple dental caries with it.

He had been managed conservatively with beta-blockers and steroids elsewhere for years with no appreciable benefit. Oral examination revealed a well demarcated swelling involving the anterior third of tongue extending dorso-ventrally (occupying mostly the ventral surface) and measuring 6×5×3 cm3, red in color with a purplish hue.

It had a smooth surface, with fine granularity. It was partially compressible and soft in consistency. Also noted were multiple dental caries.

A working clinical diagnosis of macroglossia secondary to lingual hemangioma was made and partial glossectomy using an inverted V incision was performed. The limbs of V were approximated to reconstruct the residual tongue.

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