Novel application of percutaneous cryotherapy for the treatment of recurrent oral bleeding from a noninvoluting congenital hemangioma involving the right buccal space and maxillary tuberosity

Cardiovasc Intervent Radiol. 2011 Feb:34 Suppl 2:S277-81. doi: 10.1007/s00270-010-9931-x. Epub 2010 Jul 1.

Abstract

Cryotherapy is the application of varying extremes of cold temperatures to destroy abnormal tissue. The intent of this article is to describe a novel technique using percutaneous cryotherapy for treating a noninvoluting congenital craniofacial hemangioma (NICH). An 18-year-old woman with type 1 von Willebrand's disease, as well as a qualitative platelet aggregation disorder, presented with multiple recurrent episodes of oral bleeding from a NICH involving the right buccal space and maxillary tuberosity. The patient was initially treated with a combination of endovascular particulate embolization, percutaneous sclerotherapy, tissue cauterization, and laser therapy between the ages of 4 and 8 years of age. At 18 years of age, the patient presented with recurrent episodes of oral bleeding related to the NICH. Endovascular embolization was performed using particulate and a liquid embolic agent with limited success. Due to the refractory nature of this bleeding, the patient underwent successful lesion ablation using percutaneous cryotherapy. At 9-month follow-up, the patient is asymptomatic with no episodes of recurrent bleeding.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Blood Platelet Disorders / complications
  • Blood Platelet Disorders / congenital
  • Cheek*
  • Cryosurgery / methods*
  • Female
  • Hemangioma / congenital*
  • Hemangioma / diagnosis
  • Hemangioma / surgery*
  • Humans
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging
  • Maxillary Neoplasms / congenital*
  • Maxillary Neoplasms / diagnosis
  • Maxillary Neoplasms / surgery*
  • Mouth Neoplasms / congenital*
  • Mouth Neoplasms / diagnosis
  • Mouth Neoplasms / surgery*
  • Oral Hemorrhage / diagnosis
  • Oral Hemorrhage / surgery*
  • Platelet Aggregation
  • Postoperative Complications / surgery
  • Recurrence
  • Reoperation
  • Tomography, X-Ray Computed
  • von Willebrand Disease, Type 1 / complications