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Resection and immediate reconstruction of two pediatric intraosseous capillary mandibular malformations

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Abstract

Vascular anomalies arising in the mandible comprise under 1% of all intraosseous tumors originating from the mandible, and their occurrence is extremely rare. Few pediatric cases of mandibular capillary vascular malformations have been reported. We report two pediatric intraosseous capillary mandibular malformations with a similar clinical course. A 15-year-old boy and 10-year-old girl each developed a painless, rapidly growing mandibular swelling. Imaging and tissue biopsy did not establish a definitive diagnosis. As the destruction of the mandible progressed, mandibular resection and reconstruction were performed, and capillary malformation was diagnosed on the grounds of tissue examination. There has been no postoperative recurrence, and good function and appearance have been maintained. Mandibular vascular malformations require prompt, appropriate diagnosis and treatment because bone destruction progresses as the lesions grow. Although the surgical treatment of pediatric vascular malformations involves various problems peculiar to the growth phase, it is important to consider resection, including reconstruction, so that the postoperative function and appearance are not impaired.

Level of evidence: Level V, therapeutic study.

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Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Dentistry and Pharmaceutical Science, Okayama University Graduate School of Medicine, 2-5-1, Shikata-cho, Kita-ku, Okayama-city, Okayama, 700-8558, Japan

    Hiroshi Matsumoto, Tomoyuki Ota, Sho Komagoe & Yoshihiro Kimata

  2. Department of Otolaryngology-Head and Neck Surgery, Dentistry and Pharmaceutical Science, Okayama University Graduate School of Medicine, 2-5-1, Shikata-cho, Kita-ku, Okayama-city, Okayama, Japan

    Yohei Noda & Takuma Makino

  3. Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, Okayama-city, Okayama, Japan

    Seiko Takeda & Nobuyoshi Mizukawa

  4. Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima-city, Hiroshima, Japan

    Kohei Taniguchi

  5. Department of Pathology, Japanese Red Cross Okayama Hospital, 2-1-1, Aoe, Kita-ku, Okayama-city, Okayama, Japan

    Tomoka Ikeda

  6. Department of Pathology, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, Okayama-city, Okayama, Japan

    Hiroyuki Yanai

Authors
  1. Hiroshi Matsumoto
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  2. Tomoyuki Ota
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  3. Sho Komagoe
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  4. Yohei Noda
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Corresponding author

Correspondence to Hiroshi Matsumoto.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Our institute does not require IRB approval for case reports.

Consent to participate

Informed consent was obtained from the parents or legal guardians of the two pediatric patients included in this study.

Consent for publication

The parents or legal guardians signed patient consent regarding the publication of the pediatric patients’ data and photographs.

Conflict of interest

Hiroshi Matsumoto, Tomoyuki Ota, Sho Komagoe, Yohei Noda, Takuma Makino, Seiko Takeda, Nobuyoshi Mizukawa, Kohei Taniguchi, Tomoka Ikeda, Hiroyuki Yanai, and Yoshihiro Kimata declare no competing interests.

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Matsumoto, H., Ota, T., Komagoe, S. et al. Resection and immediate reconstruction of two pediatric intraosseous capillary mandibular malformations. Eur J Plast Surg 45, 831–839 (2022). https://doi.org/10.1007/s00238-021-01905-2

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  • DOI: https://doi.org/10.1007/s00238-021-01905-2

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