Korean J Otorhinolaryngol-Head Neck Surg.  2015 May;58(5):324-329. 10.3342/kjorl-hns.2015.58.5.324.

Clinical Study of the Intranasal Hemangioma

• Chang DS
• Choi MS
• Lee HY
• Cho CS
• Park SG
• Park NS
• Kim JC
• Son HJ
• Lee SY
• Kim AY

• KMID: 2277861
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.5.324

Abstract

BACKGROUND AND OBJECTIVES
Hemangioma of the nasal cavity is an uncommon benign vascular tumor. This study aimed to analyze the clinical manifestations, radiologic findings, treatment modalities, and outcomes of intranasal hemangiomas.
SUBJECTS AND METHOD
Retrospective reviews of the medical record were performed on 13 patients, who were treated for intranasal hemangioma from 2005 to 2014.
RESULTS
Of the 13 patients identified, there were seven males and six females ranging from 11 to 80 years of age (mean age of 48.1+/-21.5). Epistaxis was the most common presenting symptom. Most common site of origin was the inferior turbinate. CT scans showed variable enhancement of the nasal mass without bony erosion. Preoperative diagnosis accuracy rate was 76.9%. The tumor was histopathologically classified as follows: capillary hemangioma (n=6, 46.1%), cavernous hemangioma (n=3, 23.1%), venous hemangioma (n=2, 15.4%), and mixed hemangioma (n=2, 15.4%). Endoscopic excisional surgery (n=11, 94.6%) and local excision (n=2, 15.4%) were performed for complete removal of the hemangioma. Preoperative selective embolization was performed on one patient. No evidence of recurrence after the surgery was observed.
CONCLUSION
Intranasal hemangioma was usually found to occur in the inferior turbinate and the most common symptom was epistaxis. Capillary hemangioma was the most common type. Complete excision was recommended to prevent recurrence.

Keyword

Epistaxis; Hemangioma; Nasal cavity

MeSH Terms

Diagnosis
Epistaxis
Female
Hemangioma*
Hemangioma, Capillary
Hemangioma, Cavernous
Humans
Male
Medical Records
Nasal Cavity
Recurrence
Retrospective Studies
Tomography, X-Ray Computed
Turbinates