A Clinical Analysis of Hemangioma in the Nasal Cavities

Abstract

Hemangioma of the nasal and paranasal cavities is a relatively uncommon neoplasm, and few studies on this condition have been reported in Japan.
Sixteen patients (8 male and 8 female) with nasal hemangioma were treated in our department from November 2007 to October 2011. There were 9 cases of pyogenic granuloma and 7 cases of capillary hemangioma. The lesions originated most often in the inferior turbinates (7 cases) and the nasal septa (4 cases). The average age was 47.6 years old with the predisposing age in the 50s and 60s. There was no difference between sexes. Essential symptoms were epistaxis and nasal obstruction, and no patient complained of pain. Local excisions with a transnasal approach were done in all 16 patients and no recurrence was observed. Selective embolization was applied preoperatively and controlled hemorrhage well in one patient.
65 cases of nasal and paranasal hemangioma have been reported since 1980 in Japan as far as we could confirm. The histological classification and the clinical features are discussed in these 65 cases and our experience in 16 cases. Since the classification of hemangioma has not yet been established, early unification is desirable.