Hemangioma inside the mouth
Nov 07, 2025
Source: Cainiu Health
Dr. Liu Chao
Introduction
Oral hemangiomas can be managed through observation and follow-up, topical medications, laser therapy, injection treatments, or surgical excision. Given that the mouth is essential for eating and speaking, minimally invasive approaches that preserve function should be prioritized. Prompt medical evaluation is recommended if the hemangioma causes bleeding, interferes with eating, or grows rapidly. Observation and follow-up are suitable for small, superficial hemangiomas that cause no symptoms.
Vascular malformations in the mouth can be managed through observation and follow-up, topical medications, laser therapy, injection treatments, or surgical excision. Given that the oral cavity is essential for eating and speaking, minimally invasive approaches that preserve function should be prioritized. If the vascular malformation ruptures and bleeds, obstructs eating, or grows rapidly, prompt medical attention is recommended.
1. Observation and follow-up: For small, superficial vascular malformations without symptoms, regular monitoring of size and appearance may be sufficient. Some lesions remain stable or even regress over time, avoiding unnecessary treatment that could damage the oral mucosa and affect eating or speech.
2. Topical medication: For slow-growing superficial vascular malformations, apply oral-specific ointments or mouth rinses as directed by a physician. These medications act directly on the lesion to inhibit abnormal blood vessel proliferation. This approach is highly safe and generally does not interfere with normal eating.
3. Laser therapy: For bright red, easily bleeding superficial vascular malformations, precise wavelength lasers are used to destroy abnormal blood vessels and reduce blood supply, promoting lesion regression. This method results in minimal tissue damage, quick recovery, and little impact on oral function.
4. Injection therapy: For moderate-sized vascular malformations involving the submucosal layer, low-concentration medications are injected directly into the lesion to reduce its size. Injections are administered carefully to avoid oral nerves and blood vessels, minimizing effects on taste and chewing function.
5. Surgical excision: For large lesions, those with recurrent bleeding, or those impairing swallowing, complete removal via minimally invasive surgery is recommended. During surgery, care is taken to protect the oral mucosa and nerves. Postoperative wound care helps minimize scarring and functional impairment.
In daily life, choose warm, soft, and easy-to-chew foods. Avoid excessively hard or hot foods that may irritate or injure the vascular malformation. Rinse the mouth with lukewarm water or a gentle mouthwash after meals to maintain oral hygiene and reduce the risk of infection.
