Haemangioma of maxillary sinus

Das, Siddhartha; Ghosh, L. M.; Bhowmick, A.

doi:10.1007/bf02910986

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The surgical approach differs depending of the location and extent of the tumor and includes endoscopic transnasal excision, transantral, transpalatal, lateral rhinotomy, and medial maxillectomy. 1,2,5,6 Imaging (CT and MRI) is essential to diagnosis and surgical planning. In this case, the CT scan showed an expansile, heterogeneous soft-tissue mass associated with bony erosion of the antral walls and deviation of the septum from mass pressure.…”

Section: Discussionmentioning

confidence: 99%

Nasal Obstruction Associated With a Unilateral Maxillary Sinus Mass

Choudhury

Papadopoulou

Saleh

2014

JAMA Otolaryngol Head Neck Surg

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A man in his 20s presented to his local ear, nose, and throat (ENT) clinic with a 1-year history of progressive, unilateral left-sided nasal blockage associated with facial pain and pressure sensation over the left cheek. He also had a history of intermittent left-sided epistaxis during childhood. He was otherwise fit and healthy and not taking any regular medications.Clinical examination showed a large unilateral nasal mass filling the left nasal cavity and deviation of the septum to the right. Findings from the remainder of the ENT examination were normal.In light of the unilateral nature of the clinical signs and symptoms, the patient underwent imaging with computed tomographic (CT) imaging ( Figure 1A) and magnetic resonance imaging (MRI) of the paranasal sinuses ( Figure 1B and C). Both scans confirmed the presence of a soft-tissue heterogenous mass within the left antrum, with clinically significant widening of the maxillary sinus ostium permitting extension of the antral mass into the left nasal cavity. There was also associated expansion and signs of pressure erosion of the medial and superior walls of the antrum with bony dehiscence of the left orbital floor. The mass extended posteriorly into the nasopharynx and displaced the nasal septum to the right.The patient was subsequently admitted for examination under anesthesia and biopsy of the left nasal mass. Postoperatively, he developed clinically significant epistaxis from the left operated side, requiring nasal packing. Following histological diagnosis, he was referred to our center for definitive treatment.

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Section: Discussionmentioning

confidence: 99%

Nasal Obstruction Associated With a Unilateral Maxillary Sinus Mass

Choudhury

Papadopoulou

Saleh

2014

JAMA Otolaryngol Head Neck Surg

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“…Cavernous hemangioma of the maxillary sinus is rare. 5,6,9 Histologically, sinonasal hemangiomas can be similar to that of other lesions, such similarities can make it difficult to establish a definitive diagnosis on the basis of smallsample biopsies. The current lesion composed of thick-and thin-walled vascular channels separated by sparse cellular fibrous tissue and anastomosing cavernous blood vessels consistent with cavernous hemangioma.…”

Section: Discussionmentioning

confidence: 99%

“…5,7 The differential diagnosis of hemangioma includes inverted papilloma, pyogenic granuloma, mucocele, hematoma, polypoid cystic masses and bacillary angiomatosis, Kaposi's sarcoma and other vascular tumors of the paranasal sinuses, like angiosarcoma. 5,9 Hemangiomas of the paranasal sinuses can be difficult to diagnose for many reasons. Obtaining a biopsy specimen for diagnosis can be dangerous in view of the potential for profuse bleeding.…”

Section: Discussionmentioning

confidence: 99%