Source:Journal of Oral and Maxillofacial Surgery
Author(s): Jong Seung Kim, Sam Hyun Kwon
Background and ObjectivesHemangioma is a common benign vascular lesion of the head and neck region. It rarely involves the mucous membranes of nasal cavity and paranasal sinuses. It should be added to the differential diagnosis of nasal cavity masses when the presenting symptoms are epistaxis or nasal obstruction.Materials and MethodsWe performed a retrospective chart review with a histologic diagnosis of lobular capillary hemangioma or cavernous hemangioma of the sinonasal mucous membranes treated at the Chonbuk National University Hospital between January 1995 and December 2015. There were a total of 1479 patients diagnosed with hemangiomas in the total body area. The medical records were reviewed to gather data on clinical symptoms, demographic characteristics, site of tumor, imaging and histologic features, and treatment. We also performed a review of the literature on previously diagnosed cases of sinonasal hemangioma.ResultsThree hundred patients had hemangiomas in the head and neck region and only 37 patients (12.5%) had hemangiomas of the sinonasal mucous membranes. The most common complaint was nasal obstruction (59.5%), followed by epistaxis (51.4%). There were 18 males (48.6%) and 19 females (51.4%). The predominant subsites were the nasal septum, (40.5%) followed by inferior turbinate (29.7%), maxillary sinus (8.1%), and uncinate process (8.1%). Lobular capillary hemangioma (24/ 37) was more common than cavernous hemangioma (13/37). There was a significant correlation between the histologic type and tumor site of the hemangioma.ConclusionSinonasal hemangiomas are relatively uncommon. Clinicians should be aware of the clinical, radiological and histological features of sinonasal hemangiomas to avoid misdiagnosis as a malignant tumor, angiofibroma or other benign masses.
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