Author(s)

Somayeh Alirezaei, Maryam Baharvand, Masood Rezaei, Arash Azizi, Bita Tavakoli

Dental School, Islamic Azad University, Tehran, Iran.
Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Oral and Maxillofacial Medicine Department, Dental School, Islamic Azad University, Tehran, Iran.

Aim: To evaluate the effect of a highly potent corticosteroid (dexamethasone) in the treatment of vascular malformation when the location is difficult to reach and complications such as uncontrolled bleeding is predictable in surgery. Background: Vascular malformation is not a common lesion in oral cavity especially in alveolar ridge with extension to the pillar uvula. These lesions arise from capillary or venous malformations with various surgical or non-surgical treatment modalities. Case Description: We performed weekly intralesional injection of dexamethasone in a patient with a vascular malformation in alveolar ridge extending to the lingual side of alveolar ridge and posterior extension to the uvula. Complete resolution of lesion was observed after 6th injection. Conclusion: Intralesional injection of dexamethasone is a potentially curative method to treat oral vascular malformation. Clinical Significance: Injection of dexamethasone is a simple and cost-effective therapy that can be used as a safe treatment for vascular malformations prior to or as a substitute for surgery.

Vascular Malformation; Intralesional Injection; Dexamethasone

Alirezaei, S. , Baharvand, M. , Rezaei, M. , Azizi, A. and Tavakoli, B. (2014) Management of Vascular Malformations in Dangerous Area of Oral Cavity: The Iranian Experience and Review of Treatment Modalities. Open Journal of Stomatology, 4, 115-120. doi: 10.4236/ojst.2014.43018.