ArticleCureus2026
Pediatric Intraosseous Cavernous Hemangioma of the Mandible: A Case Series Highlighting Diagnostic Challenges and Surgical Management.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Intraosseous hemangioma of the mandible is a rare benign vascular tumor, accounting for less than 1% of primary bone tumors, and is exceptionally uncommon in pediatric and adolescent populations. Owing to its nonspecific clinical presentation and variable radiographic appearance, it is frequently misdiagnosed as an odontogenic lesion, posing a significant risk of intraoperative hemorrhage. We report three cases of intraosseous cavernous hemangioma of the mandible in an 11-year-old female, a nine-year-old male, and a 14-year-old female presenting with painless mandibular swelling and facial asymmetry. Radiographic features ranged from a classic sunburst pattern to multilocular radiolucency and osteolytic lesions with hypervascular soft-tissue components. Aspiration and computed tomography with angiographic evaluation played a crucial role in identifying the vascular nature of the lesions. All patients were successfully managed with segmental mandibulectomy following vascular control and appropriate reconstruction. Histopathological examination confirmed cavernous hemangioma in all cases. This case series highlights the importance of considering intraosseous hemangioma in the differential diagnosis of mandibular lesions in young patients and emphasizes the critical role of angiographic evaluation and preoperative planning in preventing life-threatening hemorrhagic complications.
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