Abstract

We reported a 59-year-old man who complained of recurrent massive epistaxis with intranasal hemangioma. After ligation of the feeding arteries, maxillary artery and ethmoid artery, we employed lateral rhinotomy approach to provide excellent exposure of the interior of the nose. Nasal bone, lacrimal bone and a portion of maxilla were removed temporarily by osteotomy following lateral rhinotomy incsion. This procedure provided better visualization of intranasal structures. Exellent exposure of antrum and ethmoid cells made it possible to remove hemangioma completely. Lateral rhinotomy can be exected to provide excellent exposure of the nasal cavity, safety, a dry field, and minimal scar.