Hallazgo de flebolitos en la región bucal: Reporte de dos casos.
Finding phleboliths in the oral region: Report of two cases.
Palabras clave:
flebolitos, patología vascular, trombo, calcificación
Resumen
Los trombos formados en vasos sanguíneos, aunque suelen tener un flujo sanguíneo normal, pueden experimentar la deposición de minerales, dando como resultado la formación de flebolitos y, cuando afectan la región bucal, pueden provocar asimetría facial debido a un aumento de volumen, confiriendo a la mucosa un aspecto azulado. A pesar de que el diagnóstico de flebolitos suele ser incidental, se hace necesario diferenciarlos de otras calcificaciones. En este artículo, se presentan dos casos clínicos relevantes. El primero está asociado con un evento traumático y se diagnosticó clínicamente como un probable sialolito. El segundo caso, inicialmente diagnosticado como flebolito, no mostraba asociación con patología vascular. Estos casos subrayan la importancia de considerar la posible presencia de flebolitos en el diagnóstico diferencial de lesiones vasculares y otras calcificaciones en la región bucal. Además, se destaca la necesidad de un enfoque cuidadoso y una evaluación detallada para determinar el origen y la naturaleza de las calcificaciones en la mucosa oral para garantizar un tratamiento apropiado y evitar complicaciones potenciales.
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Citas
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.
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.
Publicado
2024-12-02
Cómo citar
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
Sección
Reporte de Caso
