FIGURE CAPTIONS
Figure 1: Anterior view (a) and a lateral view(b) of the lesion involving the tongue on first presentation
prior to treatment
Figure 2: T2-weighted contrast enhanced MRI sagittal section
showing a hyperintense mass on the tongue. Small foci (yellow arrows)
can be seen within the lesion corresponding to flow voids.
Figure 3: Appearance of the lesion after 1 year of observation.
The lesion has increased in all dimensions and now occupies majority of
the oral cavity. The surface appears dry and flaking of the superficial
layers of mucosa can be seen.
Figure 4: Digital subtraction angiogram of the left lingual
artery prior to embolization (a) and immediately after
embolization (b) . Majority of the feeder vessels have been
successfully occluded and blood supply to the lesion appears to be
reduced.
Figure 5: Clinical appearance of the lesion prior to
embolization (a) compared to its appearance immediately after
embolization (b) . Even though the lesion appears to be reduced
in size, feeding was still a major challenge.
Figure 6: Surface markings on the tongue using indelible ink
prior to dissection (a) . Excision of the transverse and
vertical lesion and reduction of the anterior two-thirds of the tongue(b) . Excised specimen from the tongue (c). Appearance
of tongue immediately after suturing (d) .
Figure 7: Capillary hemangioma of the tongue: Presence of both
thick and thin walled vascular channels lined by endothelial cells
without anaplastic features (hematoxylin and eosin, magnification x10(a) and X40 (b) ).
Figure 8: Appearance of the tongue 1 week after surgery(a) with the tongue satisfactorily contained in the mouth, note
the nasogastric tube (b). Appearance 8 months after surgery(c) with restored tongue form and function (protrusion).
Figure 9: A comparison of the tongue before surgery
(a) and at medium term of 1 year and 9 months after surgery