CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2019 August;3(2):44-7

DOI: 10.23736/S2532-3466.19.00165-6

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

A combination treatment of recurrent aggressive pyogenic granuloma

Marimallappa TIPTUR RAJASHEKARAIAH, Ashok K. KORATAGERE RAMABHADRA SETTY, Supriyo PAL ✉

Department of Oral and Maxillofacial Surgery, Sri Siddhartha Dental College and Hospital, Sri Siddhartha University, Tumakuru, Karnataka, India

Pyogenic granuloma (PG) is a nonneoplastic, exophytic vascular tumor. Exact etiology is unknown, factors such as female sex hormones e.g. Estrogen plays major role in its pathogenesis. Complete surgical excision of recurrent aggressive PG is preferred but generally associated with recurrence and literature showed sclerosants have been successfully used for the treatment of the lesion. Fourteen-year-old female reported with a complaint of recurrence of growth in 34, 35, 36 region. The lesion was roughly oval; measuring 2x3x2 cm. Surface was lobulated and pinkish red in color. Ulceration with fibrinous exudate was noted The lesion was excised under general anesthesia which recurred after two weeks, it was excised under local anesthesia which relapsed after one week, and it was then treated with sclerotherapy (1 mL of 2% sodium tetra decyl sulphate) weekly for three consecutive weeks followed by excision under local anesthesia. The lesion reduced in size progressively followed by exfoliation of the lesion at 5th week). After one week a small bright red growth was noted at alveolar region of 36, it was then excised and sent for histopathology which confirmed aggressive recurrent pyogenic granuloma. Combination of surgical excision and sclerotherapy with 2% sodium tetradecyl sulfate is effective in the treatment of recurrent PG and can be performed by a dentist in day care. This may be a simple, safer, feasible and economical procedure with success and less chance of recurrences.

KEY WORDS: Granuloma, pyogenic - Sclerotherapy - Disease management