Abstract
Cavernous Sinus Hemangioma: Diagnosis and Treatment
Highlights
Cavernous hemangiomas are common vascular tumors of the head and neck region, those arising in the nose [1] and in the maxillary sinus [2,3,4] are exceedingly rare
Capillary hemangiomas are more common and are composed of capillary-sized vessels, lined with flattened epithelium [5]; they usually arise from the nasal septum
We describe the management of a 33-year-old woman with a large cavernous hemangioma in the maxillary sinus, which we resected with endoscopic medial maxillectomy, after performing arterial embolization
Summary
Cavernous hemangiomas are common vascular tumors of the head and neck region, those arising in the nose [1] and in the maxillary sinus [2,3,4] are exceedingly rare. Cavernous hemangiomas are composed of large, endothelium-lined vascular spaces, and more likely occur on the lateral wall of the nasal cavity [7,8]. We describe the management of a 33-year-old woman with a large cavernous hemangioma in the maxillary sinus, which we resected with endoscopic medial maxillectomy, after performing arterial embolization. Endoscopic examination revealed a mass in her right nostril, arising from the maxillary sinus, occupying the middle meatus, and projecting to the nostril and choana. The CT scan revealed a mass in the right maxillary sinus, extending to the nasal cavity, and associated with bony remodelling in the medial sinus wall (Figures 1 and 2). The tumor, arising from the right lateral wall, occupied the entire maxillary sinus and extended to the choana (Figure 4).
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