Document Detail


Intravascular papillary endothelial hyperplasia of the lower lip: surgical approach and review of the literature.
MedLine Citation:
PMID:  19702673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A review of the literature for intravascular papillary endothelial hyperplasia is presented along with a case report of a geriatric patient.
REVIEW OF THE LITERATURE: Intravascular papillary endothelial hyperplasia (IPEH) is a reactive benign lesion of vascular origin, which is caused by an excessive proliferation of endothelial cells. Only a few cases with IPEH in the oral cavity have been recorded in the literature, reporting the lower lip as the main site. The treatment of choice mentioned in the literature is simple excision.
CASE REPORT: In this case, an IPEH of the lower lip of a 79-year-old male was treated by a sclerosing agent, which was injected into the lesion, causing compression and fibrosis of the blood vessels, followed by a careful dissection and excision. Intra-operatively no bleeding occurred. Post-operatively an excellent aesthetic result was achieved, without recurrence.
CONCLUSION: The use of sclerotherapy followed by surgery in mixed type intravascular papillary endothelial hyperplasia can provide an acceptable aesthetic result with minimal intra-operative bleeding.
Authors:
A Cohen; A Maly; B Azaz
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-08-21
Journal Detail:
Title:  Gerodontology     Volume:  26     ISSN:  1741-2358     ISO Abbreviation:  Gerodontology     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-20     Completed Date:  2010-02-17     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  8215850     Medline TA:  Gerodontology     Country:  England    
Other Details:
Languages:  eng     Pagination:  305-8     Citation Subset:  D    
Affiliation:
Department of Oral and Maxillofacial Surgery, Haddasah Ein-Kerem, Israel. adirc@hadassah.org.il
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MeSH Terms
Descriptor/Qualifier:
Aged
Diagnosis, Differential
Endothelium, Vascular / pathology*,  surgery
Humans
Hyperplasia
Lip / blood supply,  surgery
Lip Diseases / pathology*,  surgery,  therapy*
Male
Sclerosing Solutions / therapeutic use
Sclerotherapy
Sodium Tetradecyl Sulfate / therapeutic use
Chemical
Reg. No./Substance:
0/Sclerosing Solutions; 1191-50-0/Sodium Tetradecyl Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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