A clinical analysis of six cases of mandibular central hemangioma

A clinical analysis of six cases of mandibular central hemangioma

Int. J. Oral Maxillofac. Surg. 1994; 23:251 Printed in Denmark. All rights reserved Copyright © Munksgaard 1994 InternationalJournal of Oral & Maxil...

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Int. J. Oral Maxillofac. Surg. 1994; 23:251 Printed in Denmark. All rights reserved

Copyright © Munksgaard 1994 InternationalJournal of

Oral & Maxillofacial Surgery ISSN 0901-5027

Abstracts from international literature A study on the bridging of the internal jugular vein with PTFE prosthesis Ye Maochang, Luo Yongxiang, Yang Yenfang, Lee Rongxing, Gao Yuhua, Cheng Kunzhou Chinese J Stomatol 1991: 26:103-5 Bilateral radical neck dissection (SBRND) offers certain advantages in some cases of advanced head and neck cancer, but its application is precluded by the unacceptable risk of increased intracranial pressure. For this reason, a study was done on the use of prosthetic vessels to bridge part of the jugular

A clinical analysis of six cases of mandibular central hemangioma Hu Shunguang Guang Dong Med (China) 1992:257-8 This paper describes six cases of central mandibular hemangioma, All the patients were relatively young, aged 5-28 years. They all had had severe bleeding after extraction or spontaneously. Four

vein. Nine dogs had their external and internal jugular vein ligated. Two dogs were left that way, while seven dogs had a polytetrafluoroethylene (PTFE) vessel prosthesis replacing the lost part of the internal jugular vein. The following observations were made: 1) The caliber of the contralateral internal vein became 1.5-2 times bigger after unilateral ligation of both jugular veins. 2) A significant increase of intracranial pressure occurred after bilateral ligation. 3) All dogs with the PTFE prosthesis survived, but the two dogs without died within 2-3.5 h. Histopathologic examination of the brains confirmed

the diagnosis of increased intracranial pressure. 4) A significant decrease of intracranial pressure was seen after restoration of venous drainage by the PTFE prosthesis. 5) The vessel prostheses were all patent when the dogs were killed. This study showed that vessel repair after (SBRND) by P T F E vessel prosthesis may be of practical value for some patients with advanced head and neck cancer. PEI-KUN LO

of them were in shock. All patients had some swelling of the mandible, and the overlying gingival mucosa was bluish purple. Radiographs showed expansion of the mandible with diffuse, osteolytic, multilocular destruction. The mandibular canal was widened and expanded downward. The mandibular foramen was also widened. All tumors were limited to one side of the mandible. Ligation of the external carotid artery did n o t stop the bleeding. Therefore, ligation of the inferior alveolar artery was

done by dissecting the lingual periosteum after identifying the neurovascular bundle. This measure stopped the bleeding in all cases. In five cases, the mandibular lesion was curetted, and, in one case, a continuity resection was done. The method described may be recommended for patients with central hemangioma that present with uncontrollable bleeding. PEI-KUN LO