Mandibular Gingival Pyogenic Granuloma Spreading to Chin Region: a Case Report

Andri Hardianto, Wilson Wijaya, Winarno Priyanto
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Abstract

Vascular lesions tumors at the maxillo-facial area could be divided into malformations and tumors. Furthermore, vascular tumors are separated into malignant and benign tumors. Benign vascular tumor such as pyogenic granuloma usually only manifests at the gingiva or oral mucosa region. Few studies have reported extensive-sized facial pyogenic granuloma. This case reports a substantial pyogenic granuloma from the mandibular gingiva down to the chin region. In this case report, we presented a 25-year-old female patient with mastication and esthetic disturbance due to a vascular tumor in her mandibular region. Through thorough examination, a benign vascular lesion was diagnosed pre-operatively. The patient was treated with excisional biopsy and primary closure under general anaesthesia followed by anatomical pathology examination with the result of pyogenic granuloma, resulting in satisfying functional and esthetical outcomes. Patients with vascular lesions need well-executed diagnoses and treatment to achieve favourable anatomic and functional outcomes and preserve their quality of life.
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下颌齿龈化脓性肉芽肿扩散至下巴区域:病例报告
颌面部血管病变肿瘤可分为畸形和肿瘤。此外,血管肿瘤还分为恶性肿瘤和良性肿瘤。良性血管肿瘤(如化脓性肉芽肿)通常只表现在牙龈或口腔粘膜区域。很少有研究报道过面部大面积化脓性肉芽肿。本病例报告了从下颌龈到下巴区域的大面积化脓性肉芽肿。在本病例报告中,我们介绍了一位因下颌区域血管瘤而导致咀嚼和美观障碍的 25 岁女性患者。通过全面检查,术前诊断为良性血管病变。患者在全身麻醉下接受了切除活检和原发性闭合术,随后进行了解剖病理学检查,结果为化脓性肉芽肿,术后患者的功能和美观均令人满意。血管病变患者需要得到良好的诊断和治疗,以获得良好的解剖和功能效果,并保持其生活质量。
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