Section: 
Rhinology issues
Rhinology issuesCase report of transnasal endoscopic removal of large nasal hemangioma
E. V. Isaev (1), V. I. Egorov (2), D. M. Mustafaev (3), N. K. Pereboev (4)
(1), (2), (3), (4) M. F. Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, 129110, Russian Federation
UDK: УДК 616.212.4-006.311.03-072.1-089.87
DOI: https://doi.org/10.18692/1810-4800-2025-1-14-20
ABSTRACT
Abstract. Background. Hemangiomas are common benign tumors arising from blood vessels, resulting from the proliferation of endothelial cells surrounding blood-filled cavities; they are closer in nature to developmental defects. Despite the fact that hemangioma is the most common soft tissue formation of the head and neck, they are rarely found in the nasal cavity and paranasal sinuses. During its growth, nasal hemangioma obstructs the nasal cavity and, ultimately, compresses the surrounding structures. In the future, even destruction of bone tissue is possible and manifests itself, as a rule, in the form of recurrent nosebleeds with minor injuries, hemoptysis, runny nose, lacrimation from the eyes, and difficulty nasal breathing. Non-radical removal of a tumor-like formation leads to relapse. Therefore, the main treatment method for hemangiomas, especially deep ones, is surgical excision with preoperative embolization to reduce intraoperative bleeding. Modern capabilities of endoscopic technology allow for a minimally invasive transnasal approach to the formation and its removal with minimal blood loss. Clinical case. Female patient P., 57 years old, was admitted with complaints of periodic bleeding from the left half of the nose, lack of nasal breathing on the left, purulent discharge from the nasal cavity on the left, a feeling of mucus running down the back wall of the throat, periodic headaches. An MRI of the brain with contrast was performed revealing a mass formation in the left half of the nasal cavity, measuring 4 × 3 × 1.5 cm, taking into account the signal characteristics, a hemangioma is more likely. In order to prevent bleeding, before removing the vascular formation, CT angiography was performed followed by selective embolization of the distal parts of the left maxillary artery supplying the hemangioma. The vascular anomaly was removed by surgical transnasal endoscopic method. Conclusion. A 57-year-old patient underwent successful surgical treatment of hemangioma of the nasal cavity and paranasal sinuses with preliminary embolization of the afferent vessels using radical transnasal endoscopic excision of the arteriovenous malformation. There were no complications in the postoperative period.
Publication date:
20.02.2025
Keywords:
hemangioma, nose, paranasal sinuses, vascular anomalies, arteriovenous malformation For citation:
Isaev E. V., Egorov V. I., Mustafaev D. M., Pereboev N. K. Case report of transnasal endoscopic removal of large nasal hemangioma. Russian Otorhinolaryngology. 2025;24(1):14-20. (In Russ.) https://doi.org/10.18692/1810-4800-2025-1-14-20