Hallazgo de flebolitos en la región bucal: Reporte de dos casos.

Finding phleboliths in the oral region: Report of two cases.

Keywords: phleboliths, vascular pathology, thrombus, calcification

Abstract

Thrombi formed in blood vessels, although typically experiencing normal blood flow, may undergo mineral deposition, resulting in the formation of phleboliths. When affecting the oral region, they can lead to facial asymmetry due to volume increase, imparting a bluish appearance to the mucosa. Despite phlebolith diagnosis often being incidental, distinguishing them from other calcifications becomes imperative. This article presents two pertinent clinical cases: the first associated with a traumatic event clinically diagnosed as a probable sialolith, and the second case, initially identified as a phlebolith, showed no association with vascular pathology. These cases underscore the importance of considering the presence of phleboliths in the differential diagnosis of vascular lesions and other calcifications in the oral region. Furthermore, it highlights the necessity for a meticulous approach and detailed assessment to determine the origin and nature of calcifications in the oral mucosa to ensure appropriate treatment and mitigate potential complications.

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Author Biographies

Oscar Arturo Benítez-Cárdenas, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Departamento de Cirugía Bucal y Maxilofacial, Facultad de Estomatología de la Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Elhi Manuel Torres Hernández, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Departamento de Cirugía Bucal y Maxilofacial, Facultad de Estomatología de la Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Esteban Raúl Mar Uribe , Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Departamento de Cirugía Bucal y Maxilofacial, Facultad de Estomatología de la Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Jairo Mariel Cárdenas, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Departamento de Cirugía Bucal y Maxilofacial, Facultad de Estomatología de la Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

References

Becerra-Heredia JL, Fiori-Chíncaro GA, Agudelo-Botero AM. Flebolitos en la región maxilofacial: un desafío para el diagnóstico por imágenes. Rev Cient Odontol (Lima). 2021 Dec 9;9(4):e086.

Garry S, Wauchope J, Moran T, Kieran SM. Phleboliths in a vascular malformation within the parotid gland. J Pediatr Surg Case Rep 2022: 83: 102327.

Gouvêa Lima G de M, Moraes RM, Cavalcante ASR, Carvalho YR, Anbinder AL. An isolated phlebolith on the lip: an unusual case and review of the literature. Case Rep Pathol 2015;2015:507840.

Mallya SM, Lam EWN, Board A, Radiology M, Chapman K, Science C. White and Pharoah ’ s Oral Radiology Principles and Interpretation. 8Th Edition. 2019. ELSEVIER.

Chin On Luk A, Cleaveland P, Olson L, Neilson D, Siringam SJ. Pelvic phlebolith: a trivial pursuit for the urologist? J Endourol 2017: 31(4): 342-347.

ISSVA classification for vascular anomalies. Available from: https://www.issva.org/

Kanaya H, Saito Y, Gama N, Konno W, Hirabayashi H, Haruna S. Intramuscular hemangioma of masseter muscle with prominent formation of phleboliths: A case report. Auris Nasus Larynx 2008; Dec;35(4):587-591.

Sano K, Ogawa A, Inokuchi T, Takahashi H, Hisatsune K. Buccal hemangioma with phleboliths. Report of two cases. Or Surg Or Med Or Pa. 1988;65(2):151–156.

Park JW, Kim CH, Moon CW. Intramuscular hemangioma in buccal cheek: A case report. J Korean Assoc Oral Maxillofac Surg 2017;43(4):262–266.

Scolozzi P, Laurent F, Lombardi T, Richter M. Intraoral venous malformation presenting with multiple phleboliths. Oral Surg Oral Med. Oral Pathol Oral Radiol Endod 2003;96(2):197–200.

Sousa Costa JR, Torriani MA, Hosni ES, D’Avila OP, de Figueiredo PJ. Sclerotherapy for vascular malformations in the oral and maxillofacial region: Treatment and follow-up of 66 lesions. J Oral Maxillofac Surg 2011;69(6):e88–92.

Eivazi B, Ardelean M, Bäumler W, Berlien HP, Cremer H, Elluru R, Koltai P, Olofsson J, Richter G, Schick B, Werner JA. Update on hemangiomas and vascular malformations of the head and neck. Eur Arch Otorrinolaringol 2009;266(2):187–197.

March S, Noffke CEE, Raubenheimer EJ, Chabikuli NJ. Radiopacities in soft tissue on dental radiographs: Diagnostic considerations. SADJ 2015;70(2):53–57.

Mandel L, Perrino MA. Phleboliths and the vascular maxillofacial lesion. J Oral Maxillofac Surg 2010;68(8):1973–1976.

Sato S, Takahashi M, Takahashi T. A case of multiple phleboliths on the medial side of the right mandible. Case Rep Dent 2020; 27;2020:6694402.

Castro-Abrantes T, Barra SG, Silva LVO, Abrahão AC, Mesquita RA, Abreu LG. Phleboliths of the head and neck Region A case report. Ann Maxillofac Surg 2022; 12(2):231-233.

Freitas AO, Mota MRL, Sousa FB, Nogueira RLM, Lima-Verde MEQ, Azevedo NO, Alves APN. Multiple calcified hamartomatous phleboliths in buccal mucosa. Oral Surg Oral Med. Oral Pathol Oral Radiol Endod 2023;136 (1): e69.

Sivrikaya EC, Cezairli B, Ayranci F, Omezli MM, Erzurumlu ZU. Buccal vascular malformation with multiple giant phleboliths: a rare case presentation and review of the literature. Oral Maxillofac Surg 2019;23(3):375-380.

Costa-Cavalcante SCR, Costa-Alves K, Breda-Junior MA, Lima SBJA, Bessa-Nogueira RV. Solitary phlebolith in the zygomatic region: a case report. Oral Surg Oral Med. Oral Pathol Oral Radiol Endod 2020; 130(3): e188.

Buckmiller LM, Richter GT, Suen JY. Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Dis 2010;16(5):405– 418.

Wójcicki P, Wójcicka K. Epidemiology, diagnostics and treatment of vascular tumours and malformations. Adv Clin Exp Med 2014;23(3):475–484.

Dubois J, Alison M. Vascular anomalies: what a radiologist needs to know. Pediatr Radiol 2010;40(6):895–905.

Ramakrishnan K, Palanivel I, Narayanan V, Chandran S, Gurram P. Management of vascular malformations in the oral and maxillofacial region: A systematic review. J Stomatol Oral Maxillofac Surg 2021;122(6):588–599.

O’Riordan B. Phleboliths and salivary calculi. Br J Oral Surg 1974;12(2):119–131.

Mandel L, Surattanont F. Clinical and imaging diagnoses of intramuscular hemangiomas: The wattle sign and case reports. J Oral Maxillofac Surg 2004;62(6):754–758.
Published
2024-12-02
How to Cite
Benítez-Cárdenas, O. A., Torres Hernández, E. M., Mar Uribe , E. R., & Cárdenas, J. M. (2024). Hallazgo de flebolitos en la región bucal: Reporte de dos casos.: Finding phleboliths in the oral region: Report of two cases. Investigación Clínica, 65(4), 454-461. https://doi.org/10.54817/IC.v65n4a06