J Rhinol.  2020 May;27(1):63-66. 10.18787/jr.2020.00315.

A Case of Intraosseous Hemangioma in the Nasal Cavity

• Koh SM
• Choi JE
• Chung SK
• Kim HY

• KMID: 2502798
• DOI: http://doi.org/10.18787/jr.2020.00315

Abstract

Osseous hemangioma typically occurs in the vertebral column or skull bones. It it is extremely rare in the nasal bone. Only nine cases originating in the turbinate and maxillary bone have been reported in the English and Korean literature. Herein, we present the case of a 51-year-old women with a dorsum mass to share our experience with intraosseous hemangioma successfully removed and reconstructed by an endonasal approach.

Keyword

Hemangioma; Endoscopic surgery; Sinonasal tumor; 골내 혈관종; 비강 종양; 내시경 수술

Figure

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  Fig. 1. Preoperative endoscopic finding. Submucosal mass (white arrow) was seen protruding from lateral nasal wall (W) medially to the septum (S).

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  Fig. 2. Preoperative CT scan (A: coronal, B: axial). CT images present about 0.9×0.9 cm sized mass originated from nasal bone (white arrow).

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  Fig. 3. Preoperative MRI scan (A: T2WI coronal, B: T2WI axial, C: T1WI coronal, D: T1WI axial). Heterogenous nasal bone mass (white arrow) presenting high signal intensity at T2WI and moderate homogeneous enhancement (A, B) and displaying low signal intensity at T1WI (C, D).

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  Fig. 4. Intraoperative findings (A-D). A: Intercartilaginous incision around mass was done with a canal knife and subperiosteal flap was elevated. B: The margin and base of the mass was carefully inspected. The origin of the mass was the lateral wall of the nasal cavity. C: Bone drilling was done via diamond burr to remove mass. D: The size of the defect was about 10 mm and was reconstructed with using a harvested nasal septal cartilage (white arrow).

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  Fig. 5. Pathologic finding (Hematoxylin and Eosin). Pathological examination showing endothelial lined blood vessel in the mature bone trabecula (hematoxylin and eosin staining; ×40).

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  Fig. 6. Sinus endoscopy (6 month follow up). Mild adhesion between lateral nasal wall (W) and septum (S) is observed, but there are no evidence of recurrence.

Reference

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