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References

Wild AT, Raab P, Krauspe R. Hemangioma of skeletal muscle. Arch Orthop Trauma Surg. 2000; 120:139-143
Lee JK, Lim SC. Intramuscular hemangiomas of the mylohyoid and sternocleidomastoid muscle. Auris Nasus Larynx. 2005; 32:323-327
Mandel L, Surattanont F. Clinical and imaging diagnoses of intramuscular hemangiomas: the wattle sign and case reports. Br J Oral Maxillofac Surg. 2004; 62:754-758
Rossiter JL, Hendrix RA, Tom LW, Potsic WP. Intramuscular hemangioma of the head and neck. Otolaryngol Head Neck Surg. 1993; 108:18-26
Heckl S, Aschoff A, Kunze S. Cavernous hemangioma of the temporal muscle. Neurosurg Rev. 2002; 25:(1–2)63-65
Hughes C, Hutchison I. Temporalis haemangioma presenting as temporomandibular joint pain dysfunction syndrome. Br J Oral Maxillofac Surg. 1993; 31:21-22
Murakami M, Nonaka N, Hirata Y, Sonoda H, Ushio Y. Haemangioma of the temporalis muscle. Case report and review of the literature. Surg Neurol. 1991; 36:388-393
Biller HF, Krespi YP, Som PM. Combined therapy for vascular lesions of the head and neck with intra-arterial embolization and surgical excision. Otolaryngol Head Neck Surg. 1982; 90:37-47
Calisaneller T, Ozdemir O, Yildirim E, Kiyici H, Altinors N. Cavernous haemangioma of temporalis muscle: report of a case and review of the literature. Turk Neurosurg. 2007; 17:33-36
Van Doorne L, De Maeseneer M, Stricker C, Vanrensbergen R, Stricker M. Diagnosis and treatment of vascular lesions of the lip. Br J Oral Maxillofac Surg. 2002; 40:497-503

Multiple radio-opacities in an opg: a case report of cavernous haemangioma of temporalis muscle with multiple phleboliths

From Volume 38, Issue 10, December 2011 | Pages 711-713

Authors

Kushal Gadhia

BDS, MFDD

Specialist Registrar in Restorative Dentistry, Eastman Dental Hospital

Articles by Kushal Gadhia

Robert Bunyan

Associate Specialist Oral and Maxillofacial Surgery, Luton and Dunstable Hospital NHS Trust, Lewsey Road, Luton LU4 0DZ, UK

Articles by Robert Bunyan

Chi-Hwa Chan

FRCS (OMFS), FRCS Eng, FDS RCS, MBChB, BDS,

Consultant Oral and Maxillofacial Surgery, Luton and Dunstable Hospital NHS Trust, Lewsey Road, Luton LU4 0DZ, UK

Articles by Chi-Hwa Chan

Abstract

Intramuscular haemangiomas of the head and neck region are rare. They may present as an incidental finding, a mass or swelling, pain, tenderness, limitation of movement or cosmetic deformity. Treatment depends on the clinical signs and symptoms. Because of the apparent rarity of this lesion, we report a case of an incidental finding of multiple radio-opacities in a dental panoramic tomograph that was diagnosed as cavernous haemangioma in temporalis muscle with multiple phleboliths.

Clinical Relevance: Symptoms may not always be what they seem.

Article

Intramuscular haemangiomas (IMH) are uncommon tumours in the head and neck region, occurring most often in the trunk and extremities. Haemangiomas located in skeletal muscles represent less than 1% of all haemangiomas. Of these, less than 20% occur in the head and neck region, predominantly in the masseter and trapezius muscles. Intramuscular haemangiomas in the temporalis muscle are rare. Previously reported cases include cavernous, capillary and venous haemangiomas. Cavernous haemangiomas in the muscles of the head and neck can be clinically distinguished from the more aggressive capillary ones. Complications associated with IMH are rare, but include haemorrhage or functional deficits. In this paper, we report a case of an incidental finding of multiple radio-opacities in a dental panoramic tomography (OPG) that is diagnosed as cavernous haemangioma in temporalis muscle with multiple phleboliths.

A 57-year-old female was referred to our oral and maxillofacial surgery unit by her general dental practitioner with symptoms of pain originating from the upper right quadrant and a finding of multiple radio-opacities in a dental panoramic tomography (DPT/OPG) in and around the right maxillary tuberosity region (Figures 1 and 2).

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