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A Recalcitrant Huge Pyogenic Granuloma in a Young Child Mimicking as Lingual Hemangioma [Medeniyet Med J]
Medeniyet Med J. 2019; 34(1): 113-116 | DOI: 10.5222/MMJ.2019.90236  

A Recalcitrant Huge Pyogenic Granuloma in a Young Child Mimicking as Lingual Hemangioma

Chee Chean Lim1, Halimuddin Sawali2, Cheng Ai Ong2, Ahmad Nordin2, Yew Toong Liew1
1Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
2Department of Otorhinolaryngology, Queen Elizabeth Hospital, Kota Kinabalu, Sabah

Pyogenic granuloma of the oral cavity is rare, more so over the tongue in a young child. It is a soft tissue lesion thought to be due to reactive exuberant tissue reaction to local irritation or trauma. We report a case of a recalcitrant huge pyogenic granuloma in a 3 years old girl who had the lesion ever since she was 1 year old in which there was a recurrence after surgical excision. Radiological imaging suggested the lesion as a lingual hemangioma arising from the lingual arteries. Trial of propranolol was in vain and subsequent re-excision and avoidance of irritative factors turned out to be successful in treating her condition.

Keywords: pyogenic granuloma, lingual hemangioma, child


Chee Chean Lim, Halimuddin Sawali, Cheng Ai Ong, Ahmad Nordin, Yew Toong Liew. A Recalcitrant Huge Pyogenic Granuloma in a Young Child Mimicking as Lingual Hemangioma. Medeniyet Med J. 2019; 34(1): 113-116

Corresponding Author: Chee Chean Lim, Malaysia


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