vdj Van Diş Hekimliği Dergisi 2757-6868 Van Yüzüncü Yıl Üniversitesi Oral and Maxillofacial Radiology Ağız, Diş ve Çene Radyolojisi Multiple Flebolitlerle Birlikte Görülen Hemanjiyomlar: Vaka Serisi Hemangiomas Associated With Multiple Phlebolites: Case Series Sarı Gülçin AYDIN ADNAN MENDERES ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ Dönmez Tarakçı Özge İstinye Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Radyolojisi AD Özkan Gökhan Aydın Adnan Menderes Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Radyolojisi AD 12 19 2021 2 2 42 47 04 19 2021 11 22 2021 Copyright © 2020, Van Diş Hekimliği Dergisi 2020 Van Diş Hekimliği Dergisi

Hemanjiyomlar, vasküler yapılardan kaynaklanan benign infantil lezyonlardır. Hemanjiyomlar histolojik olarak kapiller, kavernöz ve mikst tipler olarak sınıflandırılır. Hemanjiyomların çoğu tedavi olmaksızın kendiliğinden kaybolur. Hemanjiyomların %15'i baş ve boyun bölgesinde bulunurken, bunların sadece %1'i iskelet kasında ortaya çıkar. Flebolitler, hemanjiyomun patognomonik özelliği olarak düşünülebilecek kalsifiye nodüllerdir. Bu olgu serisi ile flebolitli hemanjiyomların klinik ve radyolojik özelliklerini tanımlamayı amaçladık.

Hemangiomas are benign infantile lesions originating from vascular structures. Hemangiomas are histologically classified as capillary, cavernous and mixed types. Majority of hemangiomas disappear spontaneously without treatment. 15% hemangiomas are in the head and neck region while only 1% of those arise in skeletal muscle. Phlebolites are calcified nodules that can be considered as a pathognomonic feature of hemangioma. With this case series we aimed to describe clinical and radiological features of hemangiomas with phlebolites.

 Flebolit hemanjiyom panoramik radyografi Phlebolite hemangioma panoramic radiography 1. Adams DM, Lucky AW. Cervicofacial vascular anomalies. I. Hemangiomas and other benign vascular tumors. Semin Pediatr Surg. 2006;15(2):124-32 2. Mohan RPS, Dhillon M, Gill N. Intraoral venous malformation with phleboliths. Saudi Dent J. 2011;23(3):161-3. 3. Mandel L, Surattanont F. Clinical and imaging diagnoses of intramuscular hemangiomas: the wattle sign and case reports. J Oral Maxillofac Surg. 2004;62(6):754-8. 4. Altuğ HA, Büyüksoy V, Okçu KM, Doğan N. Hemangiomas of the head and neck with phleboliths: clinical features, diagnostic imaging, and treatment of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(3):60-4. 5. Sivrikaya EC, Cezairli B, Ayranci F, Omezli MM, Erzurumlu ZU. Buccal vascular malformation with multiple giant phleboliths: a rare case presentation and review of the literature. Oral Maxillofac Surg. 2019;23(3):375-80. 6. Gouvêa Lima GDM, Moraes RM, Cavalcante ASR, Carvalho YR, Anbinder AL. An isolated phlebolith on the lip: an unusual case and review of the literature. Case Rep Pathol. 2015;2015. 7. Parker Jr LA, Frommer HH. Phleboliths: Report of a case. Oral Surg. Oral Med. Oral Pathol. 1964;18(4):476-80. 8. Freire V, Moser TP, Lepage-Saucier M. Radiological identification and analysis of soft tissue musculoskeletal calcifications. Insights imaging. 2018;9(4):477-92. 9. Hassani A, Saadat S, Moshiri R, Shahmirzadi S. Hemangioma of the buccal fat pad. Contemp Clin Dent. 2014;5(2):243. 10. Zachariades N, Rallis G, Papademetriou J, Konsolaki E, Markaki S, Mezitis M. Phleboliths. A report of three unusual cases. Br J Oral Maxillofac Surg. 1991;29(2):117-9. 11. Kato H, Ota Y, Sasaki M, Arai T, Sekido Y, Tsukinoki K. A phlebolith in the anterior portion of the masseter muscle. Tokai J Exp Clin Med. 2012;37(1):25-9. 12. Moreira‐Souza L, Michels M, Lagos de Melo LP, Oliveira ML, Asprino L, Freitas DQ. Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification. Oral Dis. 2019;25(7):1809-14. 13. Lee JK, Lim SC. Intramuscular hemangiomas of the mylohyoid and sternocleidomastoid muscle. Auris Nasus Larynx. 2005;32(3):323-7. 14. Meyer JS, Hoffer F, Barnes P, Mulliken J. Biological classification of soft-tissue vascular anomalies: MR correlation. AJR Am J Roentgenol. 1991;157(3):559-64. 15. Scolozzi P, Laurent F, Lombardi T, Richter M. Intraoral venous malformation presenting with multiple phleboliths. J Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(2):197-200. 16. Bar T, Zagury A, London D, Shacham R, Nahlieli O. Calcifications simulating sialolithiasis of the major salivary glands. Dentomaxillofac Radiol. 2007;36(1):59-62. 17. Carter LC. Soft tissue calcifications and ossifications. Oral Radiology: Elsevier; 2014. p. 524-41. 18. Keberle M, Robinson S. Physiologic and pathologic calcifications and ossifications in the face and neck. Eur Radiol. 2007;17(8):2103-11. 19. Dempsey E, Murley R. Vascular malformations simulating salivary disease. Br J Plast Surg. 1970; 23:77-84. 20. O'riordan B. Phleboliths and salivary calculi. Br J Oral Surg. 1974;12(2):119-31. 21. Su Yx, Liao Gq, Wang L, Liang Yj, Chu M, Zheng Gs. Sialoliths or phleboliths? Laryngoscope. 2009;119(7):1344-7. 22. Katz JO, Langlais RP, Underhill TE, Kimura K. Localization of paraoral soft tissue calcifications: the known object rule. Oral Surg Oral Med Oral Pathol. 1989;67(4):459-63. 23. Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(1):108-10. 24. Scarfe W, Farman A. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance. AADMRT Currents. 2010;2(2):3-15. 25. Balaji Babu B, Avinash Tejasvi M, CK AA, Chittaranjan B. Tonsillolith: a panoramic radiograph presentation. J Clin Diagn Res. 2013;7(10):2378. 26. Capote TS, Almeida Gonçalves MD, Gonçalves A, Gonçalves M. Panoramic radiography—diagnosis of relevant structures that might compromise oral and general health of the patient. Emerging Trends in Oral Health Sciences and Dentistry. 2015. p. 748 27. Peter T, Cherian D, Peter T. Calcifications in Neck Region: an Insight. Cukurova Medical Journal 2015;40(2):326-329.