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Review
. 2021 Dec 9;9(4):e086.
doi: 10.21142/2523-2754-0904-2021-086. eCollection 2021 Oct-Dec.

[Flebolites in the maxillofacial region: a challenge for imaging diagnosis. A review]

[Article in Spanish]
Jorge Luis Becerra-Heredia  1 , Gustavo Adolfo Fiori-Chíncaro  2 , Ana María Agudelo-Botero  3   4
Affiliations
Review

[Flebolites in the maxillofacial region: a challenge for imaging diagnosis. A review]

[Article in Spanish]
Jorge Luis Becerra-Heredia et al. Rev Cient Odontol (Lima). .

Abstract
in English, Spanish

Vascular alterations or disorders of the blood and / or lymphatic vessels have their own characteristics, the identification of calcifications being a correct parameter to be able to make a proper diagnosis. The objective of the study was to describe the radiographic characteristics of the phleboliths, and whether they represent a challenge for diagnosis. according to the literature reviewed in the Medline (PubMed) database, Scielo, Google Scholar and some specialized journals. Phleboliths were found to have very particular radiographic characteristics, with concentric radiolucent and radiopaque images that resemble rings. However, not all the presentations are similar, this makes the diagnosis misleading with other calcifications in this region, such as sialoliths where their appearance is usually similar. Furthermore, there is the relationship with vascular anomalies and hemangiomas. finally, the evidence points to very specific characteristics of this lesion, and it is necessary to individualize each case, due to the differences that exist from one patient to another.

Las alteraciones o trastornos vasculares de los vasos sanguíneos o linfáticos presentan características propias, y la identificación de calcificaciones es un parámetro adecuado para realizar un diagnóstico certero. El objetivo del estudio fue describir las características radiográficas de los flebolitos y determinar si representan un desafío para el diagnóstico radiológico. Según la literatura revisada en las bases de datos de Medline (PubMed), SciELO, Google Escolar y algunas revistas especializadas del área, se determinó que los flebolitos tienen características radiográficas muy particulares, de imágenes concéntricas radiotransparentes y radiopacas que semejan a anillos. Sin embargo, no todas las presentaciones son similares, esto hace el diagnóstico engañoso por otras calcificaciones en esta región, como los sialolitos, cuyo aspecto suele ser parecido. A su vez, está la relación con anomalías vasculares y hemangiomas. Finalmente, la evidencia describe características muy propias de esta lesión, pero es necesario individualizar cada caso, por las diferencias que existe de un paciente a otro.

Keywords: calcification; cavernous hemangioman; phleboliths; vascular malformation.

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Conflict of interest statement

Potenciales conflictos de interés: Los autores declaran que no existe conflicto de interés en relación con la publicación de este artículo.

Figures

Figura 1
Figura 1. Múltiples calcificaciones en región maxilofacial, flebolitos. Cortesía del Dr. Hugo Aguayo del Centro de Diagnóstico por Imágenes (CDI), Lima, Perú.
See this image and copyright information in PMC

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References

    1. Gooi Z, Mydlarz WK, Tunkel DE, Eisele DW. Submandibular venous malformation phleboliths mimicking sialolithiasis in children. Laryngoscope. 2014;124(12):2826–2828. doi: 10.1002/lary.24758. - DOI - PubMed
    1. Sivrikaya EC, Cezairli B, Ayranci F, Omezli MM, Erzurumlu ZU. Buccal vascular malformation with multiple giant phleboliths: a rare case presentation and review of the literature. Oral Maxillofac Surg. 2019;23(3):375–380. doi: 10.1007/s10006-019-00767-0. - DOI - PubMed
    1. GdM Gouvea Lima, Moraes RM, Cavalcante ASR, Carvalho YR, Anbinder AL. An isolated phlebolith on the lip: an unusual case and review of the literature. Case Rep Pathol. 2015;2015:507840–507840. doi: 10.1155/2015/507840. - DOI - PMC - PubMed
    1. Sato S, Takahashi M, Takahashi T. A case of multiple phleboliths on the medial side of the right mandible. Case Rep Dent. 2020;2020:6694402–6694402. doi: 10.1155/2020/6694402. - DOI - PMC - PubMed
    1. O'Riordan B. Phleboliths and salivary calculi. Br J Oral Surg. 1974;12(2):119–131. doi: 10.1016/0007-117X(74)90120-6. - DOI - PubMed

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