Oral and maxillofacial hemangioma

Introduction

Introduction to oral and maxillofacial hemangioma Oral and maxillofacial hemangioma is a benign vascular disease. It usually occurs at birth, and a few will disappear automatically. If the growth rate is rapid, surgical resection is needed. Oral and maxillofacial hemangioma is mainly divided into three types: capillary hemangioma, cavernous hemangioma and vascular hemangioma. The cause of this disease is not clear, and it is related to autosomal recessive inheritance. It is usually related to the marriage of a close relative, and the disease cannot be directly prevented. For patients with a family history of suspected chromosomal abnormalities, genetic screening should be carried out to avoid the offspring of the disease caused by chromosome inheritance after marriage. At the same time, attention should also be paid to strengthening nutrition during pregnancy, reasonable diet, and avoiding emotional stimuli that affect embryonic development. Large tumors invade important adjacent tissues, can be injected with pingyangmycin in childhood, and adults can choose microwave plus surgery or surgery plus carbon dioxide laser treatment. basic knowledge The proportion of illness: 0.008%-0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications: depression

Cause

Oral and maxillofacial aneurysm

Cause:

The cause of this disease is not clear, and it is related to autosomal recessive inheritance. It is usually related to the marriage of a close relative, and the disease cannot be directly prevented. For patients with a family history of suspected chromosomal abnormalities, genetic screening should be carried out to avoid the offspring of the disease caused by chromosome inheritance after marriage. At the same time, attention should also be paid to strengthening nutrition during pregnancy, reasonable diet, and avoiding emotional stimuli that affect embryonic development.

Prevention

Oral and maxillofacial hemangioma prevention

First, develop good eating habits

1, prevention of hemangioma diet to pay attention to change bad eating habits and living habits, do not deliberately diet, your current intake of cereals is low, should be appropriate. Eat more foods rich in fiber and rich in nutrients such as corn, wheat, oatmeal and other miscellaneous grains. Keep it at around 500 grams per day.

2. Fruits and vegetables are rich in vitamins, minerals and dietary fiber. Dark vegetables contain more vitamins than light vegetables. In addition to cereals, the body's essential dietary fiber is mainly derived from vegetables and fruits. It also promotes the digestion and absorption of proteins in fish, meat, eggs and other foods. The daily intake of vegetables is about 500 grams, and the fruit is about 200 grams. Your current intake of vegetables and fruits is moderate, please keep it.

3, need to control the intake of oil, oils and fats, including animal and vegetable oils. Vegetable oils are rich in unsaturated fatty acids. Animal oils (such as lard) are mainly saturated fatty acids, and saturated fatty acids are closely related to the onset of coronary heart disease. Therefore, animal fat should be eaten as little as possible. It is also the rule to prevent hemangioma diet.

4, the intake of beef food is more suitable, please continue to maintain. Eating too much meat means that the intake of animal fat is increased, and too much will increase the risk of diseases such as coronary heart disease, breast cancer and colon cancer. You should try to eat lean meat and control it at around 100 grams per day.

5, control the intake of high-salt foods is also to prevent hemangioma diet, which can not only prevent high blood pressure, but also control other diseases related to blood pressure. Such as coronary heart disease, stroke and so on. The salt is kept below 6 grams per day, and some preserved foods such as pickles, bacon and waxed foods are avoided.

Second, maintain an optimistic attitude

In life and work, we should adjust our mentality in a timely manner, restrain abnormal emotional reactions, and improve our ability to respond to the environment. As a patient with hemangioma, we must strengthen our own quality in life and work, and strive to handle interpersonal relationships, be patient, and develop a good and optimistic attitude towards life. Many friends may know that the disease is a congenital disease. Therefore, in the measures to prevent strawberry hemangioma, women must pay special attention to the mental health during pregnancy. Maintain a positive and optimistic attitude. At the same time, pay attention to avoid excessive fluctuations in emotions, and try to avoid bad emotions such as anxiety, depression, irritability, and sadness. In daily life, friends should pay attention to ensure adequate sleep, avoid overwork, pay attention to work and rest, to strengthen the body's resistance, agree to avoid some bad stimuli in life, to avoid the factors that induce hemangioma. Appropriately enhance physical exercise. To enhance the body's immunity.

Complication

Oral and maxillofacial hemangioma complications Complications depression

Hemangiomas mainly cause local compression. For larger hemangiomas, they may affect eating due to their bulging in the skin. The large hemangioma of the face may seriously affect the appearance. For patients with depression tendency, active treatment should be given. Reduce the incidence of depression. Secondly, hemangiomas can cause massive bleeding due to rupture. For hemangioma in the mouth, complications such as aspiration and cough can be caused by rapid bleeding.

Symptom

Oral and maxillofacial hemangioma symptoms Common symptoms Congestive facial angiofibroma Port wine stains

Capillary hemangioma: A tumor consists of a large number of interwoven, dilated capillaries. It is characterized by bright red or purple red plaques. It is flush with the skin surface or slightly raised, with clear boundaries, irregular shapes and different sizes. When the tumor is pressed by the finger, the face recedes and the color is restored after the pressure is released.

Cavernous hemangioma: The tumor consists of an enlarged vascular lumen and a sinusoid lining the endothelial cells. The sinusoids vary in size, like a spongy structure. The sinus cavity is filled with venous blood and communicates with each other. It is a soft mass with no symptoms and slow growth. When the head is low, the tumor expands due to congestion, and after returning to normal position, the mass is restored to its original state. Superficial tumor, surface skin or mucous membrane is blue-purple. In the deep, the skin color is normal. The palpation was soft at the time of palpation, the border was unclear, and there was no tenderness. The mass is reduced when squeezed, and the original size is restored after the pressure is released.

Vascular hemangioma: mainly composed of anastomized arteries and veins. The tumor is raised in a bead or sputum. There is a sense of pulsation and tremor, and there is a murmur in the auscultation. If all the blood supply arteries are compressed, the above-mentioned pulsation and noise disappear.

Examine

Examination of oral and maxillofacial hemangioma

1. Ask a medical history, suspected deep cavernous hemangioma should be diagnosed puncture.

2. The scope of the hemangioma inside and outside the eye. The patient is placed head down (head down to the heart plane) and the size of the hemangioma is observed to estimate the traffic condition of the hemangioma and blood vessels.

3. If the hemangioma is extensive, digital subtraction angiography (DSA) should be performed to determine the extent and surrounding conditions, as well as to distinguish between vascular malformations and hemangioma.

4. Check the relationship between hemangiomas and muscles, the muscles should be contracted, and palpated at the same time to analyze the depth of the hemangioma.

Diagnosis

Diagnosis and diagnosis of oral and maxillofacial hemangioma

Diagnostic criteria

1. Ask a medical history, suspected deep cavernous hemangioma should be diagnosed puncture.

2. The scope of the hemangioma inside and outside the eye. The patient is placed head down (head down to the heart plane) and the size of the hemangioma is observed to estimate the traffic condition of the hemangioma and blood vessels.

3. If the hemangioma is extensive, digital subtraction angiography (DSA) should be performed to determine the extent and surrounding conditions, as well as to distinguish between vascular malformations and hemangioma.

4. Check the relationship between hemangiomas and muscles, the muscles should be contracted, and palpated at the same time to analyze the depth of the hemangioma.

Differential diagnosis

It is differentiated from oral hemangioma and vascular hemangioma.

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