Polidocanal sclerotherapy for lingual hemangioma- A case report

Hemangiomas are benign growths characterized by abnormal blood vessel proliferation, frequently found in the head and neck area, including the tongue, cheek mucosa, and lips. They are among the most common neoplasms in infancy, with prevalence estimated at 1-3% in neonates and 10% in one-year-old children. Females and Caucasians are more commonly affected, with 60% of cases occurring in the head and neck region. Typically, hemangiomas present as single lesions in 80% of cases and are thought to be developmental rather than neoplastic. Despite their benign nature, oral hemangiomas pose clinical challenges in dentistry due to potential complications such as bleeding and ulceration. Treatment approaches vary and should be tailored to individual cases for the best outcomes. Sclerotherapy is highlighted as a non-invasive and cost-effective method that swiftly achieves satisfactory results. This case study illustrates successful treatment of a tongue hemangioma using sodium tetradecyl sulfate, a sclerosing agent, which resulted in complete resolution of the lesion, underscoring sclerotherapy's efficacy as a prompt and nonsurgical treatment option.