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Nasopharyngeal cavernous hemangioma: an approach to remove

Abstract

Introduction

Few nasal cavernous haemangiomas have been previously reported, only nasopharyngeal cavernous hemangiomas have been reported; both arise from the lateral wall of the nasopharynx. We reported the case of a 27-year-old woman who had repeated severe epistaxis and nasal obstruction of 6 months duration. Computed tomography showed a large vascular nasopharyngeal mass. Complete endoscopic removal of the mass that was found to arise from the posterior end of the nasal septum was achieved without complications. Histopathology showed a cavernous heamangioma. Epistaxis completely stopped throughout the 12-month follow-up. This is the first work to describe the management of nasopharyngeal cavernous heamangiomas originating from the posterior end of the nasal septum. Transnasal endoscopic approach permits adequate exposure of the lesion, control of bleeding, and complete hemangioma removal.

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Correspondence to Mohammad W. El-Anwar MD.

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El-Anwar, M.W., Elnashar, I. & Elsheikh, E. Nasopharyngeal cavernous hemangioma: an approach to remove. Egypt J Otolaryngol 35, 222–226 (2019). https://doi.org/10.4103/ejo.ejo_76_18

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Keywords

  • cavernous haemangioma
  • computed tomography
  • epistaxis
  • FESS
  • nasal septum
  • nasopharynx
  • nose