Overcoming the Recurrence Dilemma of Oral Lobular Capillary Hemangioma (Pyogenic Granuloma): Case Series of an Alternative Therapeutic Approach

Abstract

Background: Lobular capillary hemangioma (LCH) is a reactive inflammatory lesion that has a high recurrence rate. The aetiology is unknown but risk factors such as trauma, chronic irritation in form of plaque and calculus, hormonal imbalance etc have been implicated. Male: female ratio is 1:2. Excision is the mainstay management with sclerosant therapy been advocated as an alternative. Intralesional bleomycin was previously used in this center as an alternative to reduce recurrence.

Objective: To report the resolution of two cases of recurrent lobular capillary hemangioma using intralesional bleomycin solution injection combined with surgical excision. Results: Case reports of 2 male patients managed by the Periodontology Unit, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife.