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Bentham R, Jordan DR, Farmer J. A rare case of intramuscular angioma involving the medial rectus muscle. Orbit 2021; 41:647-652. [PMID: 33957847 DOI: 10.1080/01676830.2021.1918179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Benign benign vascular tumors (e.g., hemangiomas) and malformations are commonly encountered lesions in all ages of life, especially in infancy and childhood. Hemangiomas are considered to be proliferative vascular lesions while malformations are defects of embryonal vascular morphogenesis. Less than 1% of hemangiomas within the body occur in skeletal muscle and of these approximately 15% have been reported to occur in the head and neck musculature (e.g. masseter, trapezius, sternocleidomastoid, mylohyoid, temporalis muscles) Intramuscular angioma (the preferred term for lesions formerly known as intramuscular hemangiomas by WHO Tumors of Soft Tissue and Bone Classification, 5th edition 2020) (IA) occurring in the extraocular muscles or palpebral muscles (orbicularis oculi) are extremely rare with only a few case reports in the English literature. To date, all the extraocular muscles have reportedly been involved. With the case reported herein, the medial rectus muscle appears to be the most common extraocular muscle involved.
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Affiliation(s)
- Ricarda Bentham
- Department of Ophthalmology and Pathology, University of Ottawa and the Ottawa Hospital, Ottawa, Ontario, Canada
| | - David R Jordan
- Department of Ophthalmology and Pathology, University of Ottawa and the Ottawa Hospital, Ottawa, Ontario, Canada
| | - James Farmer
- Department of Ophthalmology and Pathology, University of Ottawa and the Ottawa Hospital, Ottawa, Ontario, Canada
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Shin CH, Cho BK, Yoon SH, Hwang SH, Yoon JH. Incidentally Found Intramuscular Hemangioma, Mimicking Traumatic Hematoma after Military Training: A Case Report. Korean J Neurotrauma 2020; 16:326-331. [PMID: 33163445 PMCID: PMC7607019 DOI: 10.13004/kjnt.2020.16.e29] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 08/23/2020] [Accepted: 08/28/2020] [Indexed: 11/26/2022] Open
Abstract
This case report showed a young soldier complained of low back pain during military training. Intramuscular hematoma accompanied by the lumbar compression fracture was observed in computed tomography. However, the possibility of intramuscular tumors could not be ruled out through additional examinations, and thus surgically removed, and was diagnosed as cavernous hemangioma. This report is a rare and instructive case in which a hemangioma mimicked bleeding with the lumbar fracture.
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Affiliation(s)
- Chan Hee Shin
- Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Korea
| | - Byung-Kyu Cho
- Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Korea
| | - Sang Hoon Yoon
- Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Korea
| | - Sung Hwan Hwang
- Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Korea
| | - Joon Ho Yoon
- Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Korea
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Sethi PA, Jodhka S, Sethi S, Kaur J, Desai RS. A rare case of multiple benign tumors of gingiva in a 4 year old child. PEDIATRIC DENTAL JOURNAL 2018. [DOI: 10.1016/j.pdj.2018.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Park JW, Kim CH, Moon CW. Intramuscular hemangioma in buccal cheek: a case report. J Korean Assoc Oral Maxillofac Surg 2017; 43:262-266. [PMID: 28875141 PMCID: PMC5583201 DOI: 10.5125/jkaoms.2017.43.4.262] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Revised: 01/14/2017] [Accepted: 01/26/2017] [Indexed: 12/11/2022] Open
Abstract
Hemangioma is the most common benign tumor of a vascular origin, and is characterized by the abnormal proliferation of blood vessels. Intramuscular hemangioma (IMH) usually involves the skeletal muscles of the trunk or limbs, but rarely occurs in the head and neck region. This case report presents a patient with IMH showing multiple phleboliths in the buccal cheek. A 13-year-old boy was referred for the evaluation and management of painful swelling of the left cheek that had gradually increased in size over a 6 year duration. The examination revealed a palpable firm mass. Reddish-blue buccal mucosa color was observed with an aciniform shape. Preoperative magnetic resonance imaging (MRI) showed a vascular tumor in the left side adjacent to the buccinator and depressor orbicularis oris muscles. Surgical resection under general anesthesia was performed via the intraoral approach. The mass and phleboliths were extracted successfully. A histopathological examination confirmed the diagnosis of IMH. In conclusion, clinicians should be aware of the possibility of IMH in cases of a palpable mass with multiple nodules deep within the muscle in the buccal cheek. Among the several diagnostic tools, MRI provides essential information on the extent and surrounding anatomy of IMH.
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Affiliation(s)
- Jae Woo Park
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan, Korea
| | - Chul-Hwan Kim
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan, Korea
| | - Chan Woong Moon
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan, Korea
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Arts RA, George EL, Griessner A, Zierhofer C, Stokroos RJ. Long-term effects of intracochlear electrical stimulation with looped patterns on tinnitus: A case study. EAR, NOSE & THROAT JOURNAL 2017; 95:E9-E15. [PMID: 27140029 DOI: 10.1177/014556131609504-505] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Electrical stimulation by cochlear implant (CI) has been proven to be a viable treatment option for tinnitus in many recent studies. In addition, intracochlear electrical stimulation independent of an acoustic input appears to suppress tinnitus, at least in the short term. We conducted a case study to investigate the long-term effects of both standard CI and intracochlear electrical stimulation independent of an acoustic input on tinnitus in a patient with single-sided deafness and tinnitus. We found no negative effects of intracochlear electrical stimulation independent of an acoustic input on speech perception in noise. Furthermore, the additional use of a standard CI was advantageous for speech discrimination in our patient. We conclude that long-term tinnitus suppression can be achieved via intracochlear electrical stimulation with looped patterns. Our findings in terms of speech discrimination in our patient were consistent with those reported in previous studies.
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Affiliation(s)
- Remo A Arts
- Department of ENT/Head and Neck Surgery, Maastricht University Medical Centre, P. Debyelaan 25, PO Box 5800, 6202 AZ Maastricht, The Netherlands.
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González-Arriagada WA, Santos-Silva AR, Vargas PA, Lopes MA. Diagnostic approach to intramasseteric nodules. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 123:e16-e21. [DOI: 10.1016/j.oooo.2016.10.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Revised: 09/30/2016] [Accepted: 10/08/2016] [Indexed: 10/20/2022]
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Affiliation(s)
- Smeeta Gajendra
- Department of Pathology and Laboratory Medicine, Medanta-The Medicity, Gurgaon, Haryana, India
| | - Rashmi Ranjan Das
- Department of Paediatrics, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
| | - Manas Kumar Sahoo
- Department of Nuclear Medicine, All India Institute of Medical Science, New Delhi, India
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Alami B, Lamrani Y, Addou O, Boubbou M, Kamaoui I, Maaroufi M, Sqalli N, Tizniti S. Presumptive intramuscular hemangioma of the masseter muscle. AMERICAN JOURNAL OF CASE REPORTS 2015; 16:16-9. [PMID: 25590509 PMCID: PMC4298281 DOI: 10.12659/ajcr.890776] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Patient: Male, 34 Final Diagnosis: Intramuscular hemangioma of the masseter muscle Symptoms: Swelling over parotid region Medication: — Clinical Procedure: Clinical-Radiological work-up Specialty: Radiology
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Affiliation(s)
- Badreeddine Alami
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Youssef Lamrani
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Omar Addou
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Meryem Boubbou
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Imane Kamaoui
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Mustapha Maaroufi
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Nadia Sqalli
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
| | - Siham Tizniti
- Department of Radiology, University Hospital Hassan II, Fes City, Morocco
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Choi WH, Lee CJ, Oh SH, Chung BS, Rhim JK, Kwon KW. Cavernous hemangioma occurred between the trapezius and splenius capitis muscle. KOREAN JOURNAL OF SPINE 2012; 9:118-21. [PMID: 25983801 PMCID: PMC4432360 DOI: 10.14245/kjs.2012.9.2.118] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2012] [Revised: 06/05/2012] [Accepted: 06/25/2012] [Indexed: 11/19/2022]
Abstract
Hemangiomas are the most common benign tumor of soft tissue. They are frequently seen on the trunk and extremities. In addition, most of them exist at the skin and subcutaneous layer, but fewer than 1% does in the intramuscular layer. For the diagnostic images of the intramuscular cavernous hemangioma, ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) are used currently. Multiple therapeutic methods are used, but surgical excision is considered as the most ideal treatment. We describe the recurred cavernous hemangioma occurred between the trapezius and splenius capitis muscle. The mass was well demarcated but scattered and infiltrated into the adjacent muscle layer, therefore, extensive resection was unavoidable. When determining a treatment regime for the hemangioma, it is essential to consider the size of the mass, cosmetic and functional aspects of the patient.
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Affiliation(s)
- Woo Hyung Choi
- Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
| | - Chung Jae Lee
- Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
| | - Sung Han Oh
- Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
| | - Bong Sub Chung
- Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
| | - Jong Kook Rhim
- Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
| | - Kye Won Kwon
- Department of Pathology, Bundang Jesaeng General Hospital, Sungnam, Gyeonggi, Korea
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Rosbe KW, Hess CP, Dowd CF, Frieden IJ. Masseteric venous malformations: Diagnosis, treatment, and outcomes. Otolaryngol Head Neck Surg 2010; 143:779-83. [DOI: 10.1016/j.otohns.2010.08.053] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2010] [Revised: 08/25/2010] [Accepted: 08/31/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE: To describe a typical presentation of venous malformation within the masseter muscle, including physical findings and imaging, and to present the University of California, San Francisco's (UCSF) Vascular Anomalies and Birthmark Center's (VABC) experience with sclerotherapy for these lesions. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care medical center. SUBJECTS AND METHODS: Retrospective chart review of all patients presenting to the UCSF VABC over a 10-year period. RESULTS: Twelve patients with isolated venous malformations of the masseter muscle were identified. All of these patients presented with pain and facial asymmetry that was more pronounced with jaw-clenching. All underwent magnetic resonance imaging demonstrating a T2 hyperintense homogenous mass contained within the masseter muscle. Eleven of 12 had evidence on imaging of phleboliths within the mass; 10 patients underwent sclerotherapy. All treated patients had initial improvement in symptoms and/or appearance. Seven of 10 have had sustained improvement at a mean follow-up of 28 months. CONCLUSION: Masseteric venous malformations have a typical clinical presentation and imaging characteristics that should allow clinicians to distinguish them from other abnormalities presenting in this area. Percutaneous sclerotherapy should be considered as a treatment option for these patients and can result in excellent outcomes.
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Affiliation(s)
- Kristina W. Rosbe
- Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA
| | - Christopher P. Hess
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
| | - Christopher F. Dowd
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
| | - Ilona J. Frieden
- Division of Pediatric Dermatology, Department of Dermatology, University of California, San Francisco, San Francisco, CA
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Group A streptococcal infection of an intramuscular venous malformation: a case report and review of the literature. Pediatr Emerg Care 2008; 24:839-41. [PMID: 19092562 DOI: 10.1097/pec.0b013e31819080cd] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Intramuscular venous malformations are uncommon benign masses of vascular origin that can occur anywhere in the body. They can be small and clinically insignificant or can be large and violate tissue planes and viscera. Presentation is as variable as the extent of the lesions. They can be diagnosed as a result of local pain and swelling or as incidental findings. Rarely, venous malformations can get infected and present with fever or other more severe systemic symptoms. The literature is sparse regarding infection of intramuscular venous malformations. This case describes the presentation, diagnosis, and management of a patient with group A streptococcal infection of a previously undiagnosed intramuscularvenous malformation in a patient who presented to our pediatric emergency department.
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Kanaya H, Saito Y, Gama N, Konno W, Hirabayashi H, Haruna SI. Intramuscular hemangioma of masseter muscle with prominent formation of phleboliths: A case report. Auris Nasus Larynx 2008; 35:587-91. [DOI: 10.1016/j.anl.2007.11.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2007] [Revised: 10/18/2007] [Accepted: 11/03/2007] [Indexed: 10/22/2022]
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Capote A, Acero J, García-Recuero I, Rey J, Guerra B, de Paz V. Infratemporal-Preauricular-Cervical Approach for Resection of a Cavernous Intramasseteric Hemangioma: A Case Report. J Oral Maxillofac Surg 2008; 66:2393-7. [PMID: 18940514 DOI: 10.1016/j.joms.2007.06.650] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2006] [Revised: 11/28/2006] [Accepted: 06/06/2007] [Indexed: 11/15/2022]
Affiliation(s)
- Ana Capote
- Oral and Maxillofacial Surgery, Oral and Maxillofacial Institute Dr Julio Acero, Madrid, Spain.
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Affiliation(s)
- Kailash L Devalia
- Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel, Mumbai-12, India.
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Lee JK, Lim SC. Intramuscular hemangiomas of the mylohyoid and sternocleidomastoid muscle. Auris Nasus Larynx 2005; 32:323-7. [PMID: 15936911 DOI: 10.1016/j.anl.2005.03.020] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2005] [Revised: 03/07/2005] [Accepted: 03/25/2005] [Indexed: 10/25/2022]
Abstract
Intramuscular hemangiomas of the head and neck are uncommon benign vascular tumors. They arise frequently in the masseter and trapezius muscle. However, intramuscular hemangiomas arising from the mylohyoid and sternocleidomastoid muscle are extremely rare. We, herein, report additional two cases with intramuscular hemangioma of the mylohyoid and sternocleidomastoid muscle, and review the literatures pertaining to this condition. Imaging studies such as magnetic resonance image (MRI) were diagnostic and the tumors were resected completely with the cuff of normal surrounding muscle. At follow-up examination the patients have been well, without evidence of tumor recurrence after surgery. Intramuscular hemangioma of the head and neck, despite its rarity, should be considered in the differential diagnosis of the head and neck masses.
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Affiliation(s)
- Joon-Kyoo Lee
- Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hospital, Hak-Dong 8, Dong-Gu, Gwangju 501-190, South Korea
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