毛细血管骨内血管瘤是一种影响骨组织的良性血管肿瘤,然而,它在颌骨中的发生很少在文献中报道。我们介绍了一例位于28岁男性下颌联合处的毛细血管骨内血管瘤。最初由患者的牙医处理为牙髓源的感染性病变,病情突然恶化,以迅速扩大的外生性下颌病变和牙齿活动度的发展为标志,导致了对各种潜在诊断的考虑。随后,进行了切开活检,引发多次反复出血,导致几次去急诊室,并提示患者的紧急状态升级。在血管肿瘤的组织学诊断中,病人接受了病灶切除,随着有利而平稳的发展,虽然有预期的后遗症。因此,临时修复方案,包括马里兰大桥,实施了,目前正在进行中的引导骨再生和植入物支持的固定假牙的计划。该病例强调了与这种罕见疾病相关的诊断和治疗挑战。因此,为患者实现最佳结果在很大程度上取决于多学科方法,强调彻底的术前评估的重要性,以及精心设计的治疗计划和快速干预。
Capillary intraosseous hemangioma is a benign vascular neoplasm that affects bone tissue, yet its occurrence in the jaw bones has been seldom reported in the literature. We present a case of a capillary intraosseous hemangioma located in the mandibular symphysis of a 28-year-old male. Initially addressed by the patient\'s dentist as an infectious lesion of endodontic origin, the sudden worsening of the condition, marked by the development of a rapidly expanding exophytic mandibular lesion and tooth mobility, led to the consideration of various potential diagnoses. Subsequently, an incisional biopsy was performed, triggering multiple episodes of recurrent bleeding, leading to several visits to the emergency department, and prompting an urgent status upgrade for the patient. Upon the histological diagnosis of vascular neoplasm, the patient underwent the excision of the lesion, with a favorable and uneventful evolution, although with expected sequelae. As a result, a temporary prosthetic solution, comprising a Maryland Bridge, was implemented, with plans for guided bone regeneration and implant-supported fixed dental prostheses currently in progress. This case underscores the diagnostic and therapeutic challenges associated with this rare condition. Consequently, achieving the optimal outcome for the patient largely depends on a multidisciplinary approach, emphasizing the critical importance of thorough preoperative assessment, along with a well-devised treatment plan and rapid intervention.