Facial artery haemangioma diagnosed by facial pain

Background and objectives: Facial neuropathic pain is disabling for the patient and challenging for the clinician. Haemangioma is a benign vascular tumour common in childhood, characterized by abnormal endothelial proliferation, followed by gradual involution. The purpose of this presentation is to draw the clinicians’ attention to the patient presenting with facial pain.

Methods: We present the case of a 30 years old postpartum woman who presented with a recurrent facial pain, initially diagnosed as myofascial pain. The lack of therapeutic response to analgesics and the subsequent onset of hypoaesthesia of the lip heightened suspicion of nerve compression. The panoramic radiography and CT revealed a radiolucent lesion in the ascending ramus.

Results: The biopsy revealed a benign vascular malformation. Angiography revealed an extensive vascular lesion of the facial artery territory in the masticator space and pterygoid muscles along the submucosal space. There was good control of pain with gabapentin that was discontinued, maintaining a small area of hypoaesthesia of the lip.

Conclusions: Given a facial neuropathic pain is necessary to exclude nerve compression.

Key words: facial pain; haemangioma; nerve compression

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Jan 21, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Facial artery haemangioma diagnosed by facial pain
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