Multiple intraosseous hemangiomas—investigation and role of N‐butylcyanoacrylate in management

• Published in: Head & neck Vol. 29; no. 5; pp. 512 - 517
• Main Authors: Syal, Rajan, Tyagi, Isha, Goyal, Amit, Barai, Sukanto, Parihar, Anit, Kraus, Dennis H.
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.05.2007; John Wiley & Sons
• Subjects: Adult; Biological and medical sciences; Bone Neoplasms - diagnosis; Bone Neoplasms - therapy; Diagnostic Imaging; direct puncture technique; Diseases of the osteoarticular system; Dose Fractionation; Embolization, Therapeutic; Enbucrilate - therapeutic use; Gorham syndrome; Hemangioma - diagnosis; Hemangioma - therapy; Hemostatics - therapeutic use; Humans; Male; Mandible - pathology; Medical sciences; Miscellaneous. Osteoarticular involvement in other diseases; multicentric intraosseous hemangiomas; N‐butylcyanoacrylate; osseous hemangiomas; Otorhinolaryngology. Stomatology; Pelvic Bones - pathology; Skull - pathology; Spine - pathology; Tibia - pathology; Multiple; Stomatology; N-butylcyanoacrylate; Diseases of the osteoarticular system; Cardiovascular disease; ENT; direct puncture technique; Gorham syndrome; Vascular disease; Angioma; multicentric intraosseous hemangiomas; Treatment; Gorham idiopathic osteolysis; Puncture; Technique; osseous hemangiomas
• ISSN: 1043-3074; 1097-0347
• DOI: 10.1002/hed.20539

Background. Primary intraosseous hemangiomas are rare (0.7% of all osseous neoplasms), benign, slow‐growing neoplasms. These lesions are usually solitary. We are reporting a case of multicentric intraosseous hemangiomas. Investigation, treatment options, and role of N‐butylcyanoacrylate (NBCA) in management will be discussed. Methods and Results. A 20‐year‐old man had multicentric intraosseous hemangiomas involving the skull bones, mandible, vertebra, pelvic bone, and tibial tuberosity. N‐butylcyanoacrylate was used by direct puncture technique using a transosseous transcutaneous route to control profuse bleeding from the retromolar region. Conclusion. To the best of our knowledge, this is the first reported case with such extensive multicentric intraosseous hemangiomas. N‐butylcyanoacrylate by direct puncture technique can be an effective method to devascularize and stabilize low‐flow intraosseous vascular tumors. © 2007 Wiley Periodicals, Inc. Head Neck, 2007