scholarly journals Lobular Capillary Hemangioma Originating From the Posterior End of the Inferior Turbinate: A Very Rare Occurrence

2021 ◽  
pp. 014556132110091
Author(s):  
Jae Hoon Lee
Keyword(s):  
Nasal Cavity ◽  
Inferior Turbinate ◽  
Capillary Hemangioma ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Rare Occurrence ◽  
Anterior Portion ◽  
Endoscopic Endonasal ◽  
Lobular Capillary Hemangioma ◽  
The Right

Lobular capillary hemangioma mostly occurs in the anterior portion of the nasal cavity, rarely occurring in the posterior end of the inferior turbinate, as in this case. We report a case of lobular capillary hemangioma originating from the posterior end of the right inferior turbinate, which was successfully removed via an endoscopic endonasal approach.

scholarly journals Intraosseous Hemangioma of the Middle Turbinate Misdiagnosed As a Nasal Polyp

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Tae Hoon Kim ◽  
Eun Jung Lim ◽  
Jun-Ki Lee ◽  
Jin Gul Lee ◽  
Man-Hoon Han
Keyword(s):  
Nasal Cavity ◽  
Bone Tumors ◽  
Vertebral Column ◽  
Middle Turbinate ◽  
Preoperative Embolization ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
En Bloc ◽  
Endoscopic Endonasal ◽  
Intraosseous Hemangioma

Intraosseous hemangiomas account for 1% of all bone tumors and primarily originate from the vertebral column and skull bones. However, intraosseous hemangiomas of the nasal cavity are extremely rare. Here, we report a case of intraosseous hemangioma with a cavernous pattern arising from the middle turbinate that was preoperatively misdiagnosed as chronic rhinosinusitis with polyps. Except for nasal obstruction, there were no specific rhinologic symptoms. The tumor was excised en bloc by the endoscopic endonasal approach without preoperative embolization.

scholarly journals Combined strategy of maximal endoscopic endonasal resection and early radiation therapy for complex cystic and solid craniopharyngioma: operative video

2020 ◽  
Vol 2 (2) ◽  
pp. V7
Author(s):  
James K. Liu ◽  
Kevin Zhao ◽  
Jean Anderson Eloy
Keyword(s):  
Radiation Therapy ◽  
Optic Chiasm ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Suprasellar Region ◽  
Early Radiation ◽  
The Right ◽  
Combined Strategy ◽  
Neurovascular Structures

Craniopharyngioma is a rare and benign intracranial tumor of the sellar and suprasellar region. Historically, these tumors were mostly accessed through transcranial corridors and resected with microsurgical techniques. Endoscopic endonasal surgery has recently gained popularity in the treatment of these tumors and has shown at least comparable results to transcranial approaches. The endoscopic endonasal approach provides direct midline access through a transplanum transtuberculum corridor and gives excellent visualization of the undersurface of the optic chiasm to allow safe bimanual sharp dissection of the tumor from the hypothalamus. In this operative video, we demonstrate the case of a 56-year-old female who had a complex craniopharyngioma with solid and cystic components extending superolaterally into the right frontal lobe. This lesion was invasive and partially encased the right optic nerve, optic chiasm, and anterior communicating artery complex. Although a traditional transcranial approach could have been utilized, we elected for an endoscopic endonasal approach for a maximal safe near-total resection, preserving the neurovascular structures. The patient underwent radiation therapy with favorable regression of the residual tumor on subsequent imaging studies. This case illustrates the feasibility of a combined strategy of maximal safe endoscopic endonasal resection followed by early radiation therapy for a complex, invasive cystic and solid craniopharyngioma. The technical nuances of safe bimanual microsurgical dissection of tumor adhesions off of critical neurovascular structures are demonstrated.The video can be found here: https://youtu.be/z0AINLpRZGs.

scholarly journals A rare case of pediatric intranasal lobular capillary hemangioma

2020 ◽  
Vol 6 (11) ◽  
pp. 2115
Author(s):  
Sam D. Schild ◽  
Rachel Irizarry ◽  
Ann Plum
Keyword(s):  
Nasal Cavity ◽  
Surgical Excision ◽  
Vascular Lesion ◽  
Capillary Hemangioma ◽  
Vascular Tumors ◽  
Preoperative Embolization ◽  
Mri Imaging ◽  
En Bloc ◽  
Lobular Capillary Hemangioma ◽  
The Right

<p class="abstract">Pediatric nasal cavity vascular tumors express a wide variety of pathologies. Lobular capillary hemangioma (LCH) is an acquired benign vascular growth of skin and mucosa whose etiology remains unknown, though trauma and hormonal influences are implicated. Although well documented in the head and neck literature for children age five or less, it is a rarity within the nasal cavity and has yet to be documented in the mid-septum. We describe a unique case of intranasal LCH and review the current literature. A nine-year-old male presented with one week of profuse intermittent unilateral epistaxis and no history of nasal trauma. Rhinoscopy revealed a pink, pedunculated mass of the right mid-nasal septum at the bony-cartilaginous junction. CT and MRI imaging were consistent with an expansile vascular lesion receiving prominent bilateral sphenopalatine artery supply. Following embolization, en bloc endoscopic surgical excision of the lesion using cold dissection was performed with no bony or cartilaginous involvement noted. The epistaxis resolved following resection. Final histology confirmed the mass as a lobular capillary hemangioma. Paediatric intranasal LCH is a rare entity, yet warrants consideration in our differential diagnosis of pediatric vascular tumors. Our study indicates these lesions can develop in the mid-septum despite the absence of a vascular plexus. Preoperative embolization should be considered for pediatric nasal cavity tumors due to concern for hemorrhage. Endoscopic wide local excision is an appropriate and effective treatment.  </p>

Subfrontal Infrachiasmatic Approach to a Craniopharyngioma Resection: 2-Dimensional Operative Video

2019 ◽  
Vol 17 (3) ◽  
pp. E114-E114
Author(s):  
Guillermo Aldave ◽  
Pascal Zinn ◽  
William E Whitehead
Keyword(s):  
Pediatric Population ◽  
Good Alternative ◽  
Sphenoid Bone ◽  
Definitive Treatment ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
The Right

Abstract Craniopharyngioma constitutes one of the most challenging tumors. The surgery may be the definitive treatment and multiple approaches have been described based on different anatomical considerations. The choice of the right approach is the key to optimize the resection and minimize the risks. Besides, the presentation of this tumor in the pediatric population can carry additional challenges that are not present in adults, like the absence of pneumatization of the sphenoid bone for an endoscopic endonasal approach. In this video, we present a case of a 6-yr-old girl with a large sellar-suprasellar craniopharyngioma. The fact that the sphenoid was not pneumatized and the chiasm was elevated 1.2 cm from the planum sphenoidal were some of the reasons to choose a subfrontal infrachiasmatic approach as we discuss and we show in the video. This approach has not been very well established in the literature but we demonstrate it can become a good alternative for a particular type of sellar-suprasellar tumors. Appropriate video authorization consent was obtained from the parent of the patient.

scholarly journals Lobular capillary hemangioma of the nasal cavity treated by radiofrequency excision: a retrospective study

2019 ◽  
Vol 5 (6) ◽  
pp. 1496
Author(s):  
Santosh Garag ◽  
Roshan R. Jalisatgi ◽  
Arunkumar Jinka Satyanarayan ◽  
Ashok S. Naik ◽  
Sushan Shetty
Keyword(s):  
Nasal Cavity ◽  
Nasal Septum ◽  
Tertiary Care Hospital ◽  
Anterior Part ◽  
Tertiary Care ◽  
Inferior Turbinate ◽  
Capillary Hemangioma ◽  
Common Symptom ◽  
Care Hospital ◽  
Lobular Capillary Hemangioma

<p class="abstract"><strong>Background:</strong> The objective of the study was to assess the clinical presentation, radiological features and treatment by radiofrequency excision of lobular capillary hemangioma of the nasal cavity in a tertiary care hospital.</p><p class="abstract"><strong>Methods:</strong> A retrospective descriptive study of capillary hemangioma of the nasal cavity on patients attending a tertiary care hospital from January 2015 to January 2019 was conducted. Case records were analysed and results were tabulated.  </p><p class="abstract"><strong>Results:</strong> There were 14 patients of capillary hemangioma of the nasal cavity of which 11 were males and 3 females with age ranging from 15 to 68 years. Epistaxis was the most common symptom followed by nasal obstruction. Anterior nasal septum was the most commonly affected area followed by posterior nasal septum, nasal vestibule and inferior turbinate. CT scans showed enhancing lesion with no bony erosion. Patients underwent endoscopic and classical excision by radiofrequency. No patient had any recurrence over 6 to 24 months follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Lobular capillary hemangiomas of the nasal cavity present with epistaxis as the common symptom and occur most commonly over anterior part of nasal septum. Excision by radiofrequency results in minimal complications without any recurrence.</p><p class="abstract"> </p>

scholarly journals Chondro-osseous respiratory epithelial adenomatoid hamartoma of the nasal cavity (COREAH): A case report

2019 ◽  
Vol 11 (3) ◽  
pp. 175-179
Author(s):  
Nikolopoulos Elias MD
Keyword(s):  
Nasal Cavity ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Adult Patients ◽  
Csf Leak ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
Clinical Records

Objective: Determine the efficacy of the anterior skull base reconstruction in adult patients with intranasal meningoceles and meningoencephaloceles treated by endoscopic endonasal approach. Study design: Retrospective observational study of adult patients admitted to a tertiary hospital. Materials and methods: Intranasal meningocele was defined as a protrusion of meninges through a defect in the skull base forming a cyst filled with cerebrospinal fluid in the nasal cavity or paranasal sinuses. If the cyst had brain tissue it was called meningoencephalocele. The electronic clinical records of patients admitted with suspected of intranasal MC or MEC between January 2010 and December 2018 were reviewed. All patients treated by endoscopic endonasal approach were included. We excluded those cases with anterior skull base previous surgeries (iatrogenic or following tumoral resections), reconstruction with external surgical approaches and those who were less than 18 years old. Results: Intranasal MC was the most frequent lesion (6/5) and there was one patient with MEC (1/6). 5 cases were idiopathic and one patient had history of transnasal surgery. A total of 83,3% of the cases were primary surgeries and one patient had 3 prior MC surgeries. Only in four of them (66,6%) the lesion location was detected by at least one of the studies (CT, MRI and/or endoscopy). We performed a multilayer closure technique in all patients. During the immediate postoperative period, one patient had acute meningitis. One patient had a CSF leak recurrence 4 months after surgery. The success rate of the reconstructions performed by endonasal approach was 83.33% (5/6). The average follow-up of the patients was 15 months. Conclusion: The effectiveness of the anterior skull base reconstruction in adult patients with meningoceles and meningoencephaloceles performed by endoscopic endonasal approach in our series was 83.33% (5/6). This procedure is currently the gold standard due to its high efficacy and low morbidity. According to current studies, it is recommended to perform the reconstruction with a multilayer technique.

scholarly journals Endoscopic trans-sphenoid excision of solid petrous apex lesion: a case report

2017 ◽  
Vol 3 (3) ◽  
pp. 764
Author(s):  
Sai Spoorthi R. Nayak ◽  
Nishit J. Shah ◽  
Chandrashekhar E. Deopujari ◽  
Prashant V. Gunawat
Keyword(s):  
Case Report ◽  
Temporal Bone ◽  
Petrous Apex ◽  
Cystic Lesions ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Rare Occurrence ◽  
Endoscopic Endonasal ◽  
Surgical Access

<p class="abstract"><span lang="EN-US">Petrous apex lesions are highly challenging for surgical access as they lie in the most medial portion of the temporal bone, surrounded by vital structures. These lesions are traditionally tackled by labyrinthine approaches. Endoscopic endonasal approach has been described to drain cystic lesions like cholesterol granulomas. Intraosseous schwannomas of the petrous apex are a rare occurrence with only 3 cases being reported so far. We are the first to describe a transphenoidal route to completely excise a solid petrous apex lesion like a schwannoma</span>.</p>

scholarly journals Pediatric Lobular Capillary Hemangioma Nasal Cavity

2015 ◽  
Vol 8 (2) ◽  
pp. 76-80
Author(s):  
Saurabh Varshney ◽  
Priyanka Gairola ◽  
Manu Malhotra
Keyword(s):  
Nasal Cavity ◽  
Inferior Turbinate ◽  
Capillary Hemangioma ◽  
Vascular Lesions ◽  
Unknown Etiology ◽  
Radiological Findings ◽  
Lobular Capillary Hemangioma ◽  
Rare Location ◽  
Histopathological Results

ABSTRACT A lobular capillary hemangioma (LCH) is a benign uncommon entity of unknown etiology among vascular lesions of the head and neck. Although it has no predilection for age, it is more common in the third decade and in females. Lobular capillary hemangioma usually involves the gingiva, lips, tongue and buccal mucosa. The nasal cavity is a rare location. The most common symptoms are nasal obstruction and epistaxis. The treatment is nasal endoscopic surgery. We review these vascular lesions and present the clinical features, radiological findings, treatment performed and histopathological results of two cases of LCH originating in the left inferior turbinate and septum. No recurrence was observed after complete endoscopic resection during 6 months follow-up. Lobular capillary hemangioma should be taken into consideration among the differential diagnosis of a painless hemorrhagic endonasal mass even though it is a rare entity. If complete resection is performed, prognosis is excellent and the recurrence rate is low. How to cite this article Varshney S, Malhotra M, Kaur N, Gairola P. Pediatric Lobular Capillary Hemangioma Nasal Cavity. Clin Rhinol An Int J 2015;8(2):76-80.

Sign in / Sign up

Export Citation Format

Share Document