PMC8407625_01
Extraoral photograph showing diffuse solitary swelling on right masseteric region
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F1
A 25-year-old male patient reported to the Department of Oral Medicine and Radiology with a complaint of incidental finding of swelling with gradual growth on the right lower one-third of the face for 1 year [Figure 1]. On palpation, the swelling was nontender, afebrile, firm, noncompressible, nonfluctuant, nonpulsatile [Figure 1].
(a and b) Colour Doppler ultrasonography showing enhanced vascularity within the lesion
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F2
In Colour Doppler USG, vascularity was visible within the mass [Figure 2a and b].
Intraoperative view showing hemangioma along with masseter muscle on the right side
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F3
Thereafter, complete excision of the masseter muscle along with hemangioma was successfully achieved [Figures 3 and 4].
Intraoperative view after excision of hemangioma by preservation of facial nerve
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F4
Thereafter, complete excision of the masseter muscle along with hemangioma was successfully achieved [Figures 3 and 4].
Microphotograph showing abundant of vascular spaces lined by endothelial cells interspersed with skeletal muscle bundles. (H and E stain x 40)
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F5
Large dilated vascular spaces lined by endothelial cells, interspersed between the skeletal muscle bands were observed which is [Figure 5] suggestive of intramuscular capillary hemangioma.