Introduction

Hemangiomas are common benign vascular tumors primarily. They are characterized by a proliferation of endothelial cells, forming a space filled with blood and lined by endothelial tissue.
Various therapeutic modalities have been described, ranging from observation to corticosteroid therapy, beta-blocker drug therapy, sclerotherapy, cryotherapy, isotopic radiotherapy, laser therapy, and surgical excision.
Our aim is to describe the management approach for a 43-year-old man presenting with a significant vascular malformation of the tongue through a partial median glossectomy with anteriorly pointed triangular excision.

Case report

We report the case of a 43-year-old patient who presented a large congenital mass occupying almost the entire mobile tongue. MRI demonstrated a large lesion of the tongue, suggestive of a vascular malformation. Angiography was crucial for treatment planning.
Subsequently, a partial midline glossectomy with triangular excision at the anterior tip was performed, followed by suturing of the residual stumps with absorbable Vicryl 3.0.
Histopathological examination concluded it to be a cavernous hemangioma.

Discussion

There is no single systematic technique to treat all presentations of macroglossia. We report a case of a patient who benefit of a partial midline glossectomy with triangular anterior tip excision was performed to address both length and width, preceded by elective ligation of the lingual artery to enhance surgical field clarity for adequate resection.