Revista de otorrinolaringología y cirugía de cabeza y cuello
On-line version ISSN 0718-4816
NASER G, Alfredo; SAMITH M, Arturo and RIOS D, Carlos. Giant cavernous hemangioma of the maxillary sinus: Case report and literature review. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2009, vol.69, n.2, pp. 131-136. ISSN 0718-4816. http://dx.doi.org/10.4067/S0718-48162009000200008.
Hemangiomas are benign vascular neoplasms that occur preferentially in the head and neck, being uncommon in the nasal cavities and exceptionally rare in the paranasal sinuses, with very few cases reported. We present the case of a 33 year old male, that consulted for nasal obstruction, maxillary enlargement and left exophthalmos of 2 years of evolution. Contrast enhanced computed tomography showed a hypódense mass with a ring enhanced lesion in the left maxilla, extending to the nasal cavity, with orbital floor and anterior wall of the maxillary sinus destruction. A biopsy sample was informed as cavernous hemangioma. Accordingly, it was treated by supraselective arterial embolization and sclerotherapy previous to surgical resection. A subtotal maxillectomy was performed following the Weber-Ferguson approach, with no recidives after a 15 month follow-up. In addition, we compare our findings and patient management with those reviewed in the literature.
Keywords : Cavernous hemangioma; vascular tumor; maxillary sinus tumor.