Features of sinonasal hemangioma: A retrospective study of 31 cases

Takaishi, Shinya; Asaka, Daiya; Iimura, Jiro; Matsuwaki, Yoshinori; Hirooka, Shinichi; Takahashi, Hiroyuki; Kojima, Hiromi; Otori, Nobuyoshi

doi:10.1016/j.anl.2017.01.012

Cited by 29 publications

(44 citation statements)

References 9 publications

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“…[11][12][13] When considering resection of hypervascular lesions through EEA, reducing tumor vascularity beforehand by embolization would be highly beneficial because hemostatic maneuvers under endoscopy is often more challenging than those under microscopy. [4][5][6][7][8][9][10] Even proximal feeder occlusions can be effective when combined with devascularization under endoscopy. 4,8 However, since skull base tumor embolization accompanies higher risks of complications due to the complex neurovascular anatomy, 12,14 ensuring safety with proper anatomical knowledge is essential.…”

Section: Discussionmentioning

confidence: 99%

“…Since EEA is performed under narrow surgical space with restricted instrumental maneuverability and limited hemostatic methods, preoperative embolization can be a good strategy to reduce intraoperative bleeding. [4][5][6][7][8][9][10] Here, we describe five embolization cases of skull base tumors supplied by the PtVA, two of which underwent selective embolization, to demonstrate the significant clinical implications of this usually tiny artery. Technical and anatomical considerations in selective embolization are also discussed.…”

Section: Introductionmentioning

confidence: 99%

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Pterygovaginal artery as a target of embolization before endoscopic skull base surgery

et al. 2021

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Background The pterygovaginal artery (PtVA), a recurrent branch of the internal maxillary artery (IMA), can be a feeder of skull base tumors. Preoperative embolization can help endoscopic resection of hypervascular lesions, which is performed under a narrow surgical space with restricted instrumental maneuverability. Methods We performed preoperative embolization in five cases with hypervascular skull base lesions supplied by the PtVA, four of which were resected via endoscopic endonasal approach. In two cases, selective PtVA embolization through the distal IMA was successfully conducted. Results In all the cases, intraoperative bleeding during endoscopic resection was easily controlled. The medial and lateral origins of the PtVA from the IMA were demonstrated by cone-beam CT images reconstructed from three-dimensional rotational angiography, and anastomoses around the eustachian tube and soft palate were visualized by superselective angiography. Conclusions The PtVA embolization can be an effective strategy before endoscopic skull base tumor resection. When embolizing through the PtVA, clinicians should be aware of its anatomical variations and dangerous anastomoses. Understanding the surrounding angioarchitecture by angiographic techniques helps ensure safe embolization.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pterygovaginal artery as a target of embolization before endoscopic skull base surgery

et al. 2021

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“…In the largest series of 37 patients with sinonasal haemangoma by Kim et al ,10 all were managed with endoscopic surgery, while the most common site of presentation was nasal septum (40.5%), inferior turbinate (29.7%), maxillary sinus (8.1%) and uncinate process (81%). In a similar large case series with 31 patients, Takaishi et al 11 identified only two patients who required preoperative arterial embolisation, while the remaining patients had endoscopic excision under local or general anaesthesia. The reasons behind this decision were due to the size of lesion being bigger than 20 mm and an inability to identify the origin on CT or MRI.…”

Section: Discussionmentioning

confidence: 99%

An extremely rare and atypical paediatric presentation of a maxillary sinus haemangioma in the UK

Iacovidou

Acharya²,

Joshi

et al. 2019

BMJ Case Rep

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We present a rare and unusual case of a 16-year-old girl, with no significant medical history, presenting with right nasal obstruction and suspected sinusitis with occasional epistaxis and haemoptysis. On examination, she had a mass lesion in the right nasal cavity, with no evidence of other pathology on assessment of the ears, nose, throat or head and neck. A CT scan revealed an opacified right maxillary sinus with polypoidal mucosa, extending and passing through the accessory ostium into the right nasal cavity. Examination under anaesthesia with functional endoscopic sinus surgery and excision of the lesion was subsequently undertaken. Histological analysis confirmed the mass lesion as a haemangioma. This case report is the first to present a maxillary haemangioma presenting as nasal obstruction with intermittent sinusitis symptoms in a child. The authors discuss the incidence, presentation and management of maxillary haemangiomas in the paediatric population.

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“…El tratamiento está enfocado en la resección completa de la lesión, dado que no hacerlo presenta una recurrencia variable, la cual está reportada por diversos autores y oscila entre el 15 al 40%. [7][8][9] La escisión quirúrgica se puede realizar mediante visión directa, cirugía endoscópica nasal y asistida por una angioembolización, previa al procedimiento quirúrgico si se encuentra en un sitio del alto potencial de sangrado como el cornete medio. 5,8,10-14 asi- www.medigraphic.org.mx mismo, se pueden utilizar abordajes combinados en localizaciones raras, como en la fosa pterigopalatina o el paladar.…”

Section: Informe De Casounclassified

Hemangioma capilar lobular nasal del cornete medio: una causa rara de epistaxis recurrente

Silva¹,

Santos²,

Espinosa³

et al. 2019

Anales Médicos De La Asociación Médica Del Centro Médico ABC

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Features of sinonasal hemangioma: A retrospective study of 31 cases

Cited by 29 publications

References 9 publications

Pterygovaginal artery as a target of embolization before endoscopic skull base surgery

Pterygovaginal artery as a target of embolization before endoscopic skull base surgery

An extremely rare and atypical paediatric presentation of a maxillary sinus haemangioma in the UK

Hemangioma capilar lobular nasal del cornete medio: una causa rara de epistaxis recurrente

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