Cavernous haemangioma of the nasal pyramid: literature review and our experience

Abstract

Cavernous haemangioma is a slow-growing benign vascular tumor. It arises most frequently from the vertebral bodies or bones of the skull and face, the main affected being the frontal bone, the parietal bone, the orbital bone, the zygoma, maxilla, the mandible and nasal bones. Cavernous haemangioma of the nasal pyramid is very rare. In this review, we discuss the most important characteristics of this rare tumor, while presenting the clinical case of a 15-year-old male patient diagnosed in 2012 with a tumor located in the bones of the nasal pyramid, which turned out to be a cavernous haemangioma. The patient came to our clinic for swelling of the nasal pyramid with overlying skin of normal aspect, which appeared about 4 years before, with progressive evolution. The clinical examination showed a round-oval tumor with approximately 3/3 cm in diameter, hard, painless, without inflammatory signs, located in the region of the nasal pyramid, developed especially on the left side. The surgical treatment consisted in complete removal of the tumor through external approach, by lateral rhinotomy. There was no recurrence in the 10-year follow-up period. The particularity of this case is represented by the age and rare occurrence of cavernous haemangioma in the bones of the face, especially at the level of the nasal pyramid. Complete resection of the tumor represents the “gold standard” treatment.

Foreign Bodies in Otorhinolaryngology among Teenagers and Adults observed in a Reference Hospital in Mozambique

“…However, a different situation may occur as in the Brazil study [25] where there was a predominance of insects. In the same way, our results confirm the findings found by Sarafoleanu [26], where most foreign bodies found in digestive tract were the fishbone. However, studies in Spain [27] and Ethiopia [28] show higher incidence of bone fragments.…”

“…The literature [26,31] says that in adults, the most common causes for presence of foreign bodies are, among others: the imperfect chewing of the food; carelessness during chewing; imperfect preparation of the food; imperfections in the teeth or no teeth and/or the presence of prostheses that reduce the sensitivity of the mouth; escape of the teeth into the airway during extraction under general anesthesia; the suction of objects during periods of sleep or unconsciousness; excessive use of alcohol; and accidents at work, especially when the people put small objects in the mouth like needles.…”