title: Oral capillary hemangioma: a clinical protocol of diagnosis and treatment in adults.
abstract: OBJECTIVE
  Hemangiomas are benign vascular anomalies characterized by benign proliferation of blood vessels. There are no well-defined criteria for the diagnosis and treatment of oral capillary hemangioma (OCH). The objective of this study is to report a safe, effective, and low-cost protocol for diagnosis and treatment of OCH.
  
  
  METHODS
  Eight patients were diagnosed with OCH, through two physical examination maneuvers-the diascopy and head lowering maneuver with abdominal compression (HLMAC). The treatment performed was sclerotherapy with ethanolamine oleate, weekly, until the disappearance of the lesion. No local anesthetics were administered prior to the sclerosing agent injection.
  
  
  RESULTS
  All cases showed a complete remission of the lesions after sclerotherapy. There were no visible scars or compromise esthetics or normal function, and there was no evidence of recurrence. Only one patient had superficial ulceration, which remained asymptomatic and healed without specific treatment.
  
  
  CONCLUSIONS
  This protocol was effective in the diagnosis of OCH through two physical examination maneuvers with low-cost and easy implementation, the diascopy and the HLMAC. The low concentration associated with a reduced amount of the sclerosing agent was responsible for the excellent results in the cases treated.
authors.affiliation: School of Dentistry, University Center of Pará, Belém, Brazil.
authors.forename: Walessa Brasil
authors.initials: WB
authors.lastname: da Silva
authors.forename: André Luis Ribeiro
authors.initials: AL
authors.lastname: Ribeiro
authors.forename: Sílvio Augusto Fernandes
authors.initials: SA
authors.lastname: de Menezes
authors.forename: João
authors.initials: J
authors.lastname: de Jesus Viana Pinheiro
authors.forename: Sérgio
authors.initials: S
authors.lastname: de Melo Alves-Junior
mesh_terms: D000328:Adult; D002985:Clinical Protocols; D019416:Head Movements / Q000502:physiology; D018324:Hemangioma, Capillary / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000628:therapy; D009829:Oleic Acids / Q000627:therapeutic use; D010808:Physical Examination; D011312:Pressure; D012074:Remission Induction; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods
chemical_list: D009829:Oleic Acids; D012597:Sclerosing Solutions; C033343:ethanolamine oleate