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Anesthetic Management of a Patient With Sturge-Weber Syndrome Undergoing Oral Surgery
Mikiko YamashiroDDS, PhD and
Hideki FuruyaDDS, PhD
Article Category: Other
Volume/Issue: Volume 53: Issue 1
Online Publication Date: Jan 01, 2006
Page Range: 17 – 19

Sturge-Weber syndrome is a rare congenital disorder characterized by leptomeningeal hemangiomas; a facial port-wine nevus distributed over the trigeminal nerve area, usually unilaterally; and buphthalmos. This syndrome is also called encephalotrigeminal angiomatosis. 1 These hemangiomas cause neurological abnormalities, including epilepsy, mental retardation, and hemiplegia. Resection of gingival tissue and professional oral care are required because of enlargement of the soft tissues as a result of hemangiomas in addition to phenytoin group

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Toru YamamotoDDS, PhD,
Shigenobu KurataDDS, PhD,
Tomoaki UjitaDDS, PhD,
Naotaka KishimotoDDS, PhD,
Yuzo ImaiDDS, PhD,
Emi SawadaDDS,
Hiroko KanemaruDDS, PhD,
Yutaka TanakaDDS, PhD, and
Kenji SeoDDS, PhD
Article Category: Case Report
Volume/Issue: Volume 71: Issue 4
Online Publication Date: Dec 04, 2024
Page Range: 183 – 187

haemangioma . Craniomaxillofac Trauma Reconstr . 2017 ; 10 ( 2 ): 166 – 170 . 2. Sarna K, Kamau M, Guthua S. Surgical management of a massive congenital hemangioma of the tongue in an infant: a rare case report . Clin Case Rep . 2021 ; 9 ( 10 ): e04909 . 3. Okoje VN, Alonge TO, Olusanya AA. Intra-tumoral ligation and the injection of sclerosant in the treatment of lingual cavernous hemangioma . Niger J Med . 2011 ; 20 : 172 – 175 . 4. Azaz B, Lustmann J. Central hemangioma of the maxilla . Int J Oral Surg . 1976 ; 5 ( 5

Figure 1.; Image of the Hemangioma Clinical photograph taken during the preoperative interviewing showing the large hemangioma of the right tongue.
Toru Yamamoto,
Shigenobu Kurata,
Tomoaki Ujita,
Naotaka Kishimoto,
Yuzo Imai,
Emi Sawada,
Hiroko Kanemaru,
Yutaka Tanaka, and
Kenji Seo
Figure 1.
Figure 1.

Image of the Hemangioma

Clinical photograph taken during the preoperative interviewing showing the large hemangioma of the right tongue.


Preet Mohinder Singh,
S. Rajeshwari,
Anuradha Borle, and
Valluvan Rangasamy
Figure 3. 
Figure 3. 

Nasal endotracheal tube—postinduction bypassing the obstruction in tongue hemangioma.


Toru Yamamoto,
Shigenobu Kurata,
Tomoaki Ujita,
Naotaka Kishimoto,
Yuzo Imai,
Emi Sawada,
Hiroko Kanemaru,
Yutaka Tanaka, and
Kenji Seo
Figure 3.
Figure 3.

Preoperative MRI

MRI image of the horizontal section at the upper pharynx level. Note that the hemangioma (white arrows) extended to level of the pharynx.


Toru Yamamoto,
Shigenobu Kurata,
Tomoaki Ujita,
Naotaka Kishimoto,
Yuzo Imai,
Emi Sawada,
Hiroko Kanemaru,
Yutaka Tanaka, and
Kenji Seo
Figure 2.
Figure 2.

Preoperative Fiberoptic Airway Exam

Preop examination of the airway via a flexible fiberoptic scope revealed that the hemangioma (black arrow) extended to include the vallecula of epiglottis.


Preet Mohinder SinghMD, DNB, MNAMS,
S. RajeshwariMD,
Anuradha BorleMD, DNB, MNAMS, and
Valluvan RangasamyMD
Article Category: Research Article
Volume/Issue: Volume 62: Issue 3
Online Publication Date: Jan 01, 2015
Page Range: 118 – 121

. Figure 2. . Nasal endotracheal tube—breath transmission to bag. Surgical tracheostomy was performed after local anesthetic infiltration and a 4.5-mm tracheostomy tube inserted. After an uneventful course in the postanesthesia care unit the child was shifted to the ward. CASE 2 A 3-month-old, 5-kg male child with tongue hemangioma was scheduled for magnetic resonance imaging (MRI) to determine the posterior extent of the tumor. The hemangioma, present since birth, had been increasing in size with age. It was