Intraosseous hemangiomas of the facial bone.
BACKGROUND
Hemangiomas arising in the soft tissue are common in the head and neck region, but intraosseous hemangiomas of the facial bone are rare.


METHODS
The authors conducted a retrospective study investigating the clinical features, management, and outcomes for seven patients with facial bone hemangiomas.


RESULTS
Three of the hemangiomas arose in the orbital bones, two arose in the mandible, one arose in the frontal bone, and one arose in the zygoma. The mean follow-up was 3 years 9 months. During the first operation, total tumor resection was performed for two symptomatic patients, and partial resection with superficial osteotomy was performed for the remaining five individuals with facial contour deformity. Three patients who underwent partial resection achieved long-term aesthetically satisfactory results without recurrence; the other two developed recurrent tumors and underwent subsequent en bloc resection. No evidence of recurrence was observed in cases where primary or secondary complete tumor resections were performed.


CONCLUSIONS
Although complete tumor resection represents a definitive treatment for facial bone hemangiomas, conservative partial resection offers a simple method of restoring facial contour with minimal side effects. Although it appears that recurrence cannot be avoided entirely, partial resection should be considered for patients who seek surgery for cosmetic reasons.
Cheng
Nai-Chen
NC
Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei.
Lai
Dar-Ming
DM
Hsie
Mon-Hsian
MH
Liao
Shu-Lang
SL
Chen
Yueh-Bih Tang
YB
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D005147:Facial Bones; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome