Young patient with swelling of mandible

Nikolaos Galanakis, Maria Papadaki, Dimitrios Tsetis


A 10-year-old boy presented at the Oral and Maxillofacial Surgery Outpatient Clinic with painless swelling of the left mandible. His medical history was unremarkable and clinical examination revealed a soft and compressible lesion with unclear boundaries in the left mandible with slight pink to red skin discolouration. The lesion enlarged slowly and commensurately with the patient. Due to its increasing size and the correlated cosmetic problems, the patient required medical treatment. Face photo, ultrasound (US), magnetic resonance (MR) imaging and digital subtraction angiography (DSA) images are shown.


vascular malformation; percutaneous sclerotherapy; polidocanol; ultrasound; DSA

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Navarro OM, Laffan EE, Ngan BY. Pediatric soft-tissue tumors and pseudo-tumors: MR imaging features with pathologic correlation: Part 1. Imaging approach, pseudotumors, vascular lesions, and adipocytic tumors. Radiographics 2009; 29(3): 887-906.

Goyal M, Causer PA, Armstrong D. Venous vascular malformations in pediatric patients: Comparison of results of alcohol sclerotherapy with proposed MR imaging classification. Radiology 2002; 223(3): 639-644.

ISSVA Classification of Vascular Anomalies ©2014 International Society for the Study of Vascular Anomalies Available at “” (Accessed March 2017).

Paltiel HJ, Burrows PE, Kozakewich HP, et al. Soft-tissue vascular anomalies: Utility of US for diagnosis. Radiology 2000; 214(3): 747-754.

Hyodoh H, Hori M, Akiba H, et al. Peripheral vascular malformations: Imaging, treatment approaches, and therapeutic issues. Radiographics 2005; 25 Suppl 1(S159-171).

Baker LL, Dillon WP, Hieshima GB, et al. Hemangiomas and vascular malformations of the head and neck: MR characterization. AJNR Am J Neuroradiol 1993; 14(2): 307-314.

Flors L, Leiva-Salinas C, Maged IM, et al. MR imaging of soft-tissue vascular malformations: Diagnosis, classification, and therapy follow-up. Radiographics 2011; 31(5): 1321-1340; discussion 40-41.

Papadaki M, Kaban L. Vascular Anomalies of the maxillofacial region. In: Robert Ord (ed). Operative Maxillofacial Surgery (2nd edition). Hodder Arnold, London, UK, 2011, pp 417-441.

Burrows PE, Mason KP. Percutaneous treatment of low flow vascular malformations. J Vasc Interv Radiol 2004; 15(5): 431-445.

Heit JJ, Do HM, Prestigiacomo CJ, et al. Guidelines and parameters: Percutaneous sclerotherapy for the treatment of head and neck venous and lymphatic malformations. J Neurointerv Surg 2016; pii: neurintsurg-2015-012255:1-7.



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