Endoscopic resection of haemangiomas in the sinonasal cavity

Song, Chang Eun; Cho, J H; Kim, S Y; Kim, B G; Kang, Jun Myung

doi:10.1017/s0022215109004861

Cited by 29 publications

(64 citation statements)

References 19 publications

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“…1 Without knowledge of the typical clinical presentation and the complete study of imaging findings, the entity tends to be clinically and radiologically confused with neoplastic processes and even malignancy. 2 This entity has been described in the literature in different terms, including cavernous hemangioma, [3][4][5][6][7] organized or organizing hematoma, [8][9][10][11] hematoma-like mass of the maxillary sinus, 12 and SAP. 1,2,13,14 This lesion is difficult to remove en bloc and is easily broken during excision, so the sampling inconsistencies related to lesional fragility are likely responsible for the wide variation in pathologic description and terminology.…”

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confidence: 99%

MR Evaluation of Sinonasal Angiomatous Polyp

Wang¹,

Yang²,

Wang³

et al. 2011

AJNR Am J Neuroradiol

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mentioning

confidence: 99%

MR Evaluation of Sinonasal Angiomatous Polyp

Wang¹,

Yang²,

Wang³

et al. 2011

AJNR Am J Neuroradiol

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“…However, minimally invasive endoscopic approaches are more comfortable for the patients especially at advanced ages and having accompanying systemic diseases. Song et al (11) reviewed 22 patients who had undergone endoscopic excision of sinonasal cavity hemangioma and they reported that endoscopic excision of sinonasal hemangioma yields excellent outcomes in terms of tumor control and safety. We also preferred endoscopic excision in our case, since he was elderly and had accompanying diseases.…”

Section: Discussionmentioning

confidence: 99%

Hearing Loss Due to Cavernous Hemangioma of Inferior Concha

Çetin¹,

Ari²,

Bozan³

2018

Eastern J Med

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Location of cavernous hemangioma in nasal cavity is a very rare condition. Herein we will report an adult male diagnosed with cavernous hemangioma located in inferior concha and causing otitis media with effusion that was treated with the minimally invasive trans-nasal endoscopic technique. Although there are many options in treatment of lesions in nasal cavity, we recommend the trans-nasal endoscopic approach since it is minimally invasive and it is sufficient in both bleeding control and complete removal of the cavernous hemangioma.

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“…Preoperative transarterial embolization can decrease the tumor size and reduce the risk of hemorrhage during surgery. [9][10][11][12]…”

Section: Discussionmentioning

confidence: 99%

Untitled

2016

EMIJ

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sinus lesions on the basis of the patient's symptoms and imaging findings. We report a case of maxillary sinus hemangioma and we discuss the imaging features, which may suggest the diagnosis. Case presentation A 9 years old girl, presented with longstanding, left sided nasal obstruction and serosanguinous nasal discharge. She had been experiencing nasal obstruction and intermittent epistaxis for one year already. Her past medical history was otherwise unremarkable. The patient on anterior rhinoscopy, a bulge was detected, arising from the left nasal wall and impinging on the septum. The computed tomography (CT) examination was performed on a spiral scanner. The CT scan obtained following intravenous contrast administration revealed a large, inhomogeneously enhancing mass in the left maxillary sinus and nasal cavity (Figure 1-3). The nasal turbinates and the medial wall of the maxillary sinus had been eroded by the mass. There was also a bony remodeling in the anterior wall of the maxillary sinus. Because of the suspicion of sinonasal cancer, a biopsy was taken to obtain tissue from the nasal cavity and maxillary sinus. However, the biopsy revealed multiple submucosal dilated vessels filled with blood, fibrin deposition and organized thrombi stain for fungal organism negative, findings consistent with hemangioma. The microscopic examination showed dilated sinusoidal vascular channels in the stroma lining with an interconnecting fibrous wall covered with flat endothelium. The Lumina of these spaces were filled with blood. The histologic features were most compatible with cavernous hemangioma (Figure 4). On follow up, patient improvement regarding nasal obstruction and less nasal bleeding. After less than 2 month since pediatric cardiologist started her on beta-blocker (Propranolol) 1mg /kg/day, three times a day, dose increased 2-3 mg/kg/day, will be continued for 6-12 months. With weight gain adjusted on monthly basis.

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Endoscopic resection of haemangiomas in the sinonasal cavity

Abstract: Although past studies have described external approach sinonasal surgery as the mainstay of treatment, our results imply that endoscopic excision of sinonasal haemangiomas yields excellent outcomes in terms of tumour control and safety.

Cited by 29 publications

References 19 publications

MR Evaluation of Sinonasal Angiomatous Polyp

MR Evaluation of Sinonasal Angiomatous Polyp

Hearing Loss Due to Cavernous Hemangioma of Inferior Concha

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