and Treating Tongue Hemangiomas: Expert Insights

Continuing the inquiry #205696 regarding questions about the tongue?

Dear Dr.
Cheng,
Thank you for your response and suggestions regarding my inquiry about the tongue in the article "#205696".
I would like to ask you the following questions:
Q1.
If there are small hemangiomas on the tongue that have been present for a long time without any changes, and there are no symptoms such as pain or itching, what would you recommend as the best approach to manage these small hemangiomas on the tongue?
Q2.
Following up on the previous question, if I wish to remove the small hemangiomas on my tongue, what methods does the otolaryngology department typically use for removal?
Q3.
If I have small hemangiomas on my tongue, is it advisable for me to attempt to puncture and drain them myself?
Thank you, Dr.
Cheng.

Kris, 40~49 year old female. Ask Date: 2024/02/19

Dr. Zheng Jueyi reply Otolaryngology

A1.
If there are no symptoms or bleeding, it is recommended to simply observe.
A2.
Surgical complete excision and suturing of the wound.
A3.
No, as it may cause persistent bleeding.

Reply Date: 2024/02/19

More Info

Tongue hemangiomas, which are benign vascular tumors, can present unique challenges in terms of management and treatment. Understanding their nature, symptoms, and treatment options is crucial for anyone dealing with this condition.
Q1: Management of Small Hemangiomas on the Tongue
If you have a small hemangioma on your tongue that has been stable for a long time without any symptoms such as pain or itching, the best approach is often to monitor it. Many hemangiomas, especially those that are small and asymptomatic, do not require any intervention. Regular check-ups with a healthcare provider can help ensure that the hemangioma remains stable and does not develop complications. If there are any changes in size, color, or if symptoms develop, further evaluation may be necessary.

Q2: Removal Techniques by ENT Specialists
If you decide to remove the hemangioma, an Ear, Nose, and Throat (ENT) specialist or an oral surgeon may employ several techniques. The most common methods include:
1. Surgical Excision: This is the most straightforward approach where the hemangioma is surgically removed. This method is effective and allows for histological examination of the tissue to confirm the diagnosis.

2. Laser Therapy: This technique uses focused light to target and destroy the blood vessels within the hemangioma. It is less invasive than traditional surgery and can minimize bleeding and scarring.

3. Sclerotherapy: This involves injecting a sclerosing agent into the hemangioma, which causes the blood vessels to collapse and the hemangioma to shrink over time. This method is particularly useful for larger hemangiomas.

4. Cryotherapy: This technique uses extreme cold to destroy the hemangioma tissue. It is less commonly used but can be effective for certain cases.

The choice of treatment will depend on the size, location, and symptoms associated with the hemangioma, as well as the patient's overall health and preferences.

Q3: Self-Removal of Hemangiomas
It is strongly advised against attempting to self-treat or remove a hemangioma by puncturing or draining it. Doing so can lead to several complications, including:
- Infection: Breaking the skin barrier can introduce bacteria, leading to infections that may require antibiotics or further medical intervention.

- Excessive Bleeding: Hemangiomas are vascular lesions, and puncturing them can cause significant bleeding, which may be difficult to control.

- Scarring: Self-removal can lead to unsightly scars or changes in the texture of the tongue, which may be more bothersome than the hemangioma itself.

In conclusion, if you have a small, stable hemangioma on your tongue, monitoring it is often the best course of action. If removal is desired, consult with an ENT specialist who can provide safe and effective treatment options. Avoid self-treatment to prevent complications. Regular follow-ups will ensure that any changes in the hemangioma can be addressed promptly and appropriately.

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